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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 May 30, 2019

Choi WR, et al. - Patients with recurrent oral cavity cancer were examined for the association between quantitative Fluorine 18-fluorodeoxyglucose positron emission tomography/CT (18F-FDG PET/CT) parameters and other clinicopathological factors and progression-free survival (PFS) and overall survival (OS). Researchers analyzed 71 consecutive patients identifying poor PFS and OS outcomes after salvage treatment in significant correlation to all 18F-FDG PET parameters (SUVmax, SUVmean, SUVpeak, metabolic tumor volume [MTV], and total lesion glycolysis [TLG]). Karnofsky performance score, recurrence site, MTV, and TLG had independent predictive value for both PFS and OS. They noted >5-fold increased risk for tumor progression and mortality after salvage surgery in correlation to high MTV (>8.8 mL) or TLG (>29.4 g) values at recurrent lesions.
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