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Metabolic tumor volume and total lesion glycolysis predict tumor progression and survival after salvage surgery for recurrent oral cavity squamous cell carcinoma

Head & Neck Jan 29, 2019

Choi WR, et al. - Authors analyzed the data to estimate the prognostic role of Fluorine 18-fluorodeoxyglucose positron emission tomography/CT (18F-FDG PET/CT) parameters quantitatively measured in subjects with recurrent oral cavity cancer. They observed a significant association of 18F-FDG PET parameters like SUVmax, SUVmean, SUVpeak, metabolic tumor volume (MTV), and total lesion glycolysis (TLG) with poor progression-free survival (PFS) and overall survival (OS) outcomes after salvage treatment. An association of high MTV (>8.8 mL) or TLG (>29.4 g) values at recurrent lesions with >5-fold increased risk for tumor progression and mortality after salvage surgery was also noted. In multivariate analyses, they suggested Karnofsky performance score, recurrence site, MTV and TLG as independent predictive factors for both PFS and OS.
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