No benefit in staging fluorodeoxyglucose-positron emission tomography in clinically node-negative head and neck cutaneous melanoma

Jai Bikhchandani, Joshua Wood, Alan T. Richards, Russell B. Smith

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Fluorodeoxyglucose-positron emission tomography (FDG-PET) has a high sensitivity for detecting metastasis from melanoma, but its application in early-stage melanomas is questionable. The purpose of this study was to determine if positron emission tomography (PET) is beneficial in staging of clinically node negative (cN0) head and neck melanoma. Methods. After institutional review board approval, patients with head and neck melanoma treated at 2 cancer centers (between 2000 and 2010) were identified using International Classification of Disease (ICD)-9 codes. A retrospective medical chart review of cN0 patients was performed for the treatment course and outcomes. Results. A total of 165 patients were treated; of these, 106 were node negative. FDG-PET was included in initial staging of 47 cN0 patients. None had true distant metastasis detected on PET. The imaging also failed to detect nodal metastasis in 2 patients who had disease on lymphatic sampling. Conclusion. FDG-PET did not alter the initial staging or treatment in patients with cN0 head and neck melanoma. Therefore, its routine use for staging is not warranted.

Original languageEnglish (US)
Pages (from-to)1313-1316
Number of pages4
JournalHead and Neck
Volume36
Issue number9
DOIs
StatePublished - Sep 2014

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Positron-Emission Tomography
Melanoma
Neck
Head
Skin
Neoplasm Metastasis
Research Ethics Committees
International Classification of Diseases
Lymphatic Diseases
Neoplasms

Keywords

  • head and neck melanoma
  • melanoma
  • positron emission tomography (PET)
  • staging

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

No benefit in staging fluorodeoxyglucose-positron emission tomography in clinically node-negative head and neck cutaneous melanoma. / Bikhchandani, Jai; Wood, Joshua; Richards, Alan T.; Smith, Russell B.

In: Head and Neck, Vol. 36, No. 9, 09.2014, p. 1313-1316.

Research output: Contribution to journalArticle

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N2 - Fluorodeoxyglucose-positron emission tomography (FDG-PET) has a high sensitivity for detecting metastasis from melanoma, but its application in early-stage melanomas is questionable. The purpose of this study was to determine if positron emission tomography (PET) is beneficial in staging of clinically node negative (cN0) head and neck melanoma. Methods. After institutional review board approval, patients with head and neck melanoma treated at 2 cancer centers (between 2000 and 2010) were identified using International Classification of Disease (ICD)-9 codes. A retrospective medical chart review of cN0 patients was performed for the treatment course and outcomes. Results. A total of 165 patients were treated; of these, 106 were node negative. FDG-PET was included in initial staging of 47 cN0 patients. None had true distant metastasis detected on PET. The imaging also failed to detect nodal metastasis in 2 patients who had disease on lymphatic sampling. Conclusion. FDG-PET did not alter the initial staging or treatment in patients with cN0 head and neck melanoma. Therefore, its routine use for staging is not warranted.

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