How effective is our current follow-up for patients with hypopharyngeal carcinoma?
Head Neck
; 2024 Jul 16.
Article
in En
| MEDLINE
| ID: mdl-39011927
ABSTRACT
BACKGROUND:
The study aimed to evaluate the diagnostic efficacy of routine follow-up in detecting recurrent disease in hypopharyngeal carcinoma.METHODS:
Data from 76 patients with a total of 620 follow-up visits, 367 radiological studies, and 126 panendoscopies were retrospectively assessed regarding the diagnosis of recurrent disease based on the results of (I) radiological studies, (II) clinical examinations, and (III) clinical symptoms.RESULTS:
All locally relapsed patients became symptomatic, and new onset of dysphagia (p < 0.001) was the most frequent complaint. The sensitivity for detecting local recurrences was 100% for both patients' symptom assessments and clinical examinations. The highest overall accuracy was found for clinical examinations (93.4%), followed by symptom assessments (80.5%), and radiological studies (73.8%). The risk of false positive radiological reports and subsequent panendoscopies was 2.2 times higher after previous radiotherapy (32.0% vs. 14.6%; p < 0.001).CONCLUSION:
Symptom assessments and clinical examinations are highly efficient for detection of local failures.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Head Neck
Journal subject:
NEOPLASIAS
Year:
2024
Document type:
Article
Affiliation country:
Austria