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  • Norling, RikkeCopenhagen University Hospital, Denmark (author)

Radiological imaging of the neck for initial decision-making in oral squamous cell carcinomas-A questionnaire survey in the Nordic countries

  • Article/chapterEnglish2012

Publisher, publication year, extent ...

  • Informa Healthcare,2012
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:liu-77339
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-77339URI
  • https://doi.org/10.3109/0284186X.2011.640346DOI
  • https://lup.lub.lu.se/record/2571205URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-52950URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-174585URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Background. Fast and accurate work-up is crucial to ensure the best possible treatment and prognosis for patients with head and neck cancer. The presence or absence of neck lymph node metastases is important for the prognosis and the choice of treatment. Clinical lymph node (N)-staging is done by palpation and diagnostic imaging of the neck. We investigated the current practice of the initial radiological work-up of patients with oral squamous cell carcinomas (OSCC) in the Nordic countries. Methods. A questionnaire regarding the availability and use of guidelines and imaging modalities for radiological N-staging in OSCC was distributed to 21 Head and Neck centres in Denmark (n = 4), Finland (n = 5), Iceland (n = 1), Norway (n = 4) and Sweden (n = 7). We also asked for a description of the radiological criteria for determining the lymph nodes as clinical positive (cN+) or negative (cN0). Results. All 21 Head and Neck centres responded to the questionnaire. Denmark and Finland have national guidelines, while Norway and Sweden have local or regional guidelines. Seventeen of the 19 centres with available guidelines recommended computed tomography (CT) of the cN0 neck. The waiting time may influence the imaging modalities used. Lymph node size was the most commonly used criteria for radiological cN+, but the cut-off measures vary from 0.8 to 2.0 cm. Conclusion. Overall, CT is the most commonly recommended and used imaging modality for OSCC. Despite availability of national guidelines the type and number of radiological examinations vary between centres within a country, but the implementation of a fast-track programme may facilitate fast access to imaging. The absence of uniform criteria for determining the lymph nodes of the neck as cN+ complicates the comparison of the accuracy of the imaging modalities. Well-defined radiological strategies and criteria are needed to optimise the radiological work-up in OSCC.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • Grau, CaiAarhus University Hospital, Denmark (author)
  • Nielsen, Michael BCopenhagen University Hospital, Denmark (author)
  • Homoe, PrebenCopenhagen University Hospital, Denmark (author)
  • Sörensen, Jens AOdense University, Denmark (author)
  • Lambertsen, KarinAalborg University Hospital, Denmark (author)
  • Bundgaard, TroelsAarhus University Hospital, Denmark (author)
  • Makitie, AnttiHelsinki University Hospital, Finland (author)
  • Grenman, ReidarTurku University Hospital, Finland (author)
  • Larenne, JussiTampere University Hospital, Finland (author)
  • Koivunen, PetriOulu University Hospital, Finland (author)
  • Virtaniemi, JukkaKuopio University Hospital, Finland (author)
  • Gudjonsson, ArnarReykjavik University Hospital, Iceland (author)
  • Jetlund, OlavUniversity of Oslo, Norway (author)
  • Abendstein, HelmutSt Olavs University Hospital, Trondheim, Norway (author)
  • Rikardsen, OddveigUnirversity Hospital of Northen Norway (author)
  • Lybak, SteinHaukeland University Hospital, Bergen, Norway (author)
  • Wennerberg, JohanLund University,Lunds universitet,Öron-, näs- och halssjukdomar, Lund,Sektion IV,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Otorhinolaryngology (Lund),Section IV,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund University Hospital(Swepub:lu)onh-jwe (author)
  • Högmo, AndersKarolinska University Hospital, Stockholm (author)
  • Laurell, GöranUmeå universitet,Öron- näs- och halssjukdomar,Umeå University(Swepub:umu)gala0001 (author)
  • Westerborn, AndersÖrebro University Hospital (author)
  • Hammerlid, EvaSahlgrenska University Hospital, Göteborg (author)
  • Tytor, WieslawÖstergötlands Läns Landsting,Öron- näsa- och halskliniken ViN (author)
  • Cederblad, LenaUppsala universitet,Enheten för onkologi(Swepub:uu)lenacede (author)
  • von Buchwald, ChristianCopenhagen University Hospital, Denmark (author)
  • Copenhagen University Hospital, DenmarkAarhus University Hospital, Denmark (creator_code:org_t)

Related titles

  • In:Acta Oncologica: Informa Healthcare51:3, s. 355-3610284-186X1651-226X

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