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García-Curdi F, Lois-Ortega Y, Muniesa-Del Campo A, Andrés-Gracia A, Sebastián-Cortés JM, Vallés-Varela H, Lambea-Sorrosal JJ. Impact Of PET/CT On Treatment In Patients With Head And Neck Squamous Cell Carcinoma. Otolaryngol Pol 2024; 78:29-34. [PMID: 38623858 DOI: 10.5604/01.3001.0054.2561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/17/2024]
Abstract
<b><br>Introduction:</b> Although PET/CT is effective for staging HNSCC, its impact on patient management is somewhat controversial. For this reason, we considered it necessary to carry out a study in order to verify whether PET/CT helps to improve the prognosis and treatment in patients. This study was designed to address the impact of PET-FDG imaging when used alongside CT in the staging and therapeutic management of patients with HNSCC.</br> <b><br>Material and methods:</b> Data was collected from 169 patients diagnosed with HNSCC with both CT and PET/CT (performed within a maximum of 30 days of each other). It was evaluated whether discrepancies in the diagnosis of the two imaging tests had impacted the treatment.</br> <b><br>Results:</b> The combined use of CT and PET/CT led to a change in the treatment of 67 patients, who represented 39.7% of the sample. In 27.2% of cases, it entailed a change in the type of treatment which the patient received. In 3.0% of the cases, using both diagnostic tests led to modifications of the therapeutic intention of our patients.</br> <b><br>Conclusions:</b> Using PET/CT in addition to the conventional imaging method in staging resulted in more successful staging and more appropriate therapeutic decision-making.</br>.
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Affiliation(s)
| | | | - Ana Muniesa-Del Campo
- Department of Animal Pathology, Faculty of Veterinary Sciences, University of Zaragoza, Spain
| | - Alejandro Andrés-Gracia
- Department of Nuclear Medicine, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
| | | | - Héctor Vallés-Varela
- Department of Otorhinolaryngology, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain
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García-Curdi F, Lois-Ortega Y, Muniesa-Del Campo A, McGee-Laso A, Sebastián-Cortés JM, Vallés-Varela H, Lambea-Sorrosal JJ. Correlation between PET-CT and ct in the staging after the treatment of head and neck squamous cell carcinoma. Braz J Otorhinolaryngol 2022; 88 Suppl 4:S143-S151. [PMID: 34933818 DOI: 10.1016/j.bjorl.2021.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 09/30/2021] [Accepted: 11/22/2021] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVE The aim of this study is to find out if a single imaging test is enough to follow-up on an oncological post-treatment patient. In such a case, we would know which was more valuable after comparing the two, by CT or PET-CT. METHODS Between January 2012 and July 2018, we collected data from all patients with previous medical history who were treated with a head and neck squamous cell carcinoma in our hospital, through surgery or by using an organ preservation protocol which we had done. Patients were required to have a CT and a PET-CT performed in a maximum period of 30 days between techniques. We compared the post post-treatment stage given to each case by using only the physical examination (only the CT and the PET-CT), with the ones given by the Tumor Board. After treatment, we analysed the similarity through Cramer's V statistic test. RESULTS We performed a comparative analysis, obtaining a correlation of 0.426 between the stages given by the Tumor Board and the one assigned based on physical examination, without imaging techniques. By only using the computed tomography as an imaging method the correlation was 0.565, whereas with only the use of positron emission computed technology, it was estimated at 0.858. When we compared the statistical association between stages using exclusively one of the two imaging techniques, the correlation was 0.451. CONCLUSION Independent of the modality, we have demonstrated that in patients who have received previous treatment, there was a higher correlation in the stages with respect to the diagnostic method conducted by the Tumor Board using PET-CT as the sole image. LEVEL OF EVIDENCE Level 1.
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Affiliation(s)
| | | | - Ana Muniesa-Del Campo
- Universidad de Zaragoza, Faculty of Veterinary Sciences, Department of Animal Pathology, Zaragoza, Spain
| | - Amaranta McGee-Laso
- Hospital Ramon y Cajal, Department of Preventive Medicine and Public Health, Madrid, Spain
| | | | - Héctor Vallés-Varela
- Hospital Clínico Universitario Lozano Blesa, Department of Otorhinolaryngology, Zaragoza, Spain
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Lois-Ortega Y, García-Curdi F, Vallés-Varela H, Muniesa-del Campo A. Survival study in early stages of glottis cancer, stratified by treatment. Acta Otolaryngol 2022; 142:627-633. [DOI: 10.1080/00016489.2022.2110613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Affiliation(s)
| | | | - Héctor Vallés-Varela
- Department of Otorhinolaryngology, Lozano Blesa University Clinical Hospital, Zaragoza, Spain
| | - Ana Muniesa-del Campo
- Faculty of Veterinary Sciences, Department of Animal Pathology, University of Zaragoza, Zaragoza, Spain
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Lois-Ortega Y, García-Curdi F, Sebastián-Cortés JM, De Miguel-García F, Vallés-Varela H, Muniesa-del Campo A. Radiotherapy versus laser microsurgery in the treatment of early glottic cancer. Acta Otolaryngol 2020; 140:954-958. [PMID: 32677497 DOI: 10.1080/00016489.2020.1788723] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
BACKGROUND Glottic squamous cell carcinoma (SCC) in stages I or II can be treated by transoral CO2 laser microsurgery (TLM) or exclusive radiotherapy (RT). OBJECTIVES To compare the oncological results of patients treated with TLM, to those treated with RT, in a tertiary hospital. MATERIAL AND METHODS Data from patients diagnosed with glottic SCC in stages I and II between 2004 and 2018 were analyzed. Response to treatment was studied in terms of recurrence, local control and laryngeal preservation. RESULTS Of 164 patients, 63.41% received treatment with TLM and 36.58% with RT. 26.21% presented a recurrence or progression of the tumor. Both treatments obtained good local control rates (84.15% in the case of TLM and 89.6% in the case of RT) and no significant association was found between tumor recurrence and type of treatment, nor with the involvement of the anterior commissure. However, treatment with RT obtained worse laryngeal preservation rate compared to TLM (81.6% and 100% respectively) (p < .001LR). Conclusions and significance: Both treatments obtained good oncological results. There were no significant differences regarding local control. However, TLM obtained a better laryngeal preservation rate. The involvement of the anterior commissure was not a poor prognosis factor for tumor recurrence.
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Affiliation(s)
| | | | | | | | - Héctor Vallés-Varela
- Department of Otorhinolaryngology, Lozano Blesa University Clinical Hospital, Zaragoza, Spain
| | - Ana Muniesa-del Campo
- Faculty of Veterinary Sciences, Department of Animal Pathology, University of Zaragoza, Zaragoza, Spain
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García-Curdi F, Lois-Ortega Y, Muniesa-Del Campo A, McGee-Laso A, Sebastián-Cortés JM, Vallés-Varela H, Lambea-Sorrosal JJ. Correlation between PET/CT and CT in the staging prior to the treatment of head and neck squamous cell carcinoma. Braz J Otorhinolaryngol 2019; 87:11-18. [PMID: 31337597 PMCID: PMC9422538 DOI: 10.1016/j.bjorl.2019.06.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Revised: 05/11/2019] [Accepted: 06/08/2019] [Indexed: 11/24/2022] Open
Abstract
Introduction Head and neck squamous cell carcinoma is the seventh most common malignant tumor. The advances in treatment have improved the global survival rates in the past years, although the prognosis is still grave. Objective The aim of the present study is to evaluate the correlation between positron emission computed tomography and computed tomography at the time of staging a previously untreated head and neck squamous cell carcinoma, and to determine which of the two imaging techniques gives us more information at the time of initial diagnosis. Methods Data from all patients diagnosed in our hospital of head and neck squamous cell carcinoma by a biopsy of any location or unknown primary tumor was collected, between January 2012 and July 2017. In all cases, computed tomography and positron emission computed tomography were performed with a maximum of 30 days difference between them and patients had not received any prior treatment to staging. The stage given to each case was compared based solely on the physical examination, only on the computed tomography/positron emission computed tomography, with respect to the stage given by the tumor board, observing the concordance obtained through Cramer's V statistical test. Results We performed a comparative analysis obtaining a correlation of 0.729 between the stage given by the tumor board and the one assigned based on the physical examination without imaging techniques. When only using computed tomography as an imaging method, the correlation was 0.848, whereas with only the use of positron emission computed tomography it was estimated at 0.957. When comparing the statistical association between staging using exclusively one of the two imaging techniques, correlation was 0.855. Conclusion Positron emission computed tomography is useful for the diagnosis of head and neck squamous cell carcinoma, improving the patient's staging especially when detecting cervical and distant metastases. Therefore, we consider that the use of positron emission computed tomography for the staging of patients with head and neck squamous cell carcinoma is a diagnostic test to be considered.
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Affiliation(s)
- Fernando García-Curdi
- Lozano Blesa University Hospital, Department of Otorhinolaryngology, Zaragoza, Spain.
| | - Yolanda Lois-Ortega
- Ernest LLuch Martín Hospital, Department of Otorhinolaryngology, Calatayud, Spain
| | - Ana Muniesa-Del Campo
- University of Zaragoza, Faculty of Veterinary Sciences, Department of Animal Pathology, Zaragoza, Spain
| | - Amaranta McGee-Laso
- University Care Complex of León, Department of Preventive Medicine, León, Spain
| | | | - Héctor Vallés-Varela
- Lozano Blesa University Hospital, Department of Otorhinolaryngology, Zaragoza, Spain
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García-Curdi F, Lois-Ortega Y, Gonzales-Sejas AG, Alfonso-Collado JI, Fumanal-Senz L, Vallés-Varela H. [IgG4 related disease with exclusive sinonasal involvement: A case report and literature review]. Rev Esp Patol 2019; 52:125-129. [PMID: 30902377 DOI: 10.1016/j.patol.2018.05.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Revised: 05/03/2018] [Accepted: 05/11/2018] [Indexed: 06/09/2023]
Abstract
IgG4 related disease (igG4-RD) is a pathological process which integrates a large number of diseases of unknown pathogenesis, considered as being exclusive to many different organs. Diagnosis is established through histological, radiological and serological criteria. Treatment is based on long term corticosteroids; rituximab being used only in refractory cases. It is unusual for this entity to be found exclusively in the head and neck, without systemic involvement; there are only a few reported cases to date. We present a case of a nasosinusal IgG4-RD orbital tumor with paranasal sinus involvement. The accurate diagnosis made early onset corticosteroid treatment possible and the patient is currently asymptomatic.
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Affiliation(s)
- Fernando García-Curdi
- Servicio de Otorrinolaringología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España.
| | - Yolanda Lois-Ortega
- Servicio de Otorrinolaringología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España
| | | | | | - Luis Fumanal-Senz
- Servicio de Otorrinolaringología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España
| | - Héctor Vallés-Varela
- Servicio de Otorrinolaringología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España
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Lois-Ortega Y, García-Curdi F, Brotons-Durbán S, Vendrell-Marqués JB. Use of Alexis retractor in thyroid and parathyroid surgery. Cir Esp 2018; 97:46-49. [PMID: 30032865 DOI: 10.1016/j.ciresp.2018.06.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Revised: 06/16/2018] [Accepted: 06/18/2018] [Indexed: 11/26/2022]
Abstract
In thyroid and parathyroid surgical procedures, good visibility of the thyroid gland is essential. This is traditionally achieved by means of traction sutures of the dermo-plastysmal flaps to the drapes of the operative field, producing tension and even damage to the skin. The Alexis® retractor ring improves exposure and facilitates stable access to the thyroid, protecting the skin from injury during the intervention.
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Affiliation(s)
- Yolanda Lois-Ortega
- Servicio de Otorrinolaringología, Hospital Ernest Lluch Martín, Calatayud (Zaragoza), España.
| | - Fernando García-Curdi
- Servicio de Otorrinolaringología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España
| | - Simón Brotons-Durbán
- Servicio de Otorrinolaringología, Fundación Instituto Valenciano de Oncología, Valencia, España
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Lopez Del Val LJ, Sebastian-Cortes JM, Bellosta-Diago E, Santos-Lasaosa S, Vinueza-Buitron PR, Lois-Ortega Y, Valles-Varea H, Lopez-Garcia E. [Laryngeal dystonia: novel forms of therapeutic administration of botulinum toxin by direct routes]. Rev Neurol 2018; 66:368-372. [PMID: 29790569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
AIM To describe our experience in the treatment of laryngeal dystonia (in abduction and adduction), with special emphasis given to the technical aspects (approach procedure, dosage and type of botulinum toxin type A used), as well as treatment response and possible side effects. PATIENTS AND METHODS We conducted a cross-sectional descriptive study of a sample of patients with laryngeal dystonia treated by means of transoral administration of onabotulinumtoxinA or incobotulinumtoxinA over a period of 10 years (2007-2017). Data collected include demographic and clinical variables, treatment response (based on a self-rating scale), the duration of treatment and the appearance of side effects. SAMPLE SIZE 15 patients (11 women; mean age: 44.06 years) with laryngeal dystonia (mean time since onset of 40 months; 12 patients with dystonia in adduction) and 174 administrations (92% incobotulinumtoxinA; average dosage of 5 U in each vocal cord). The procedure took an average of 11.7 minutes to perform. Response was good in 31% of the procedures and very good in 57.5%. Side effects were recorded in 14.4% of the procedures, although always mild and transitory, with a predominance of dysphagia and dysphonia. CONCLUSION In our experience, transoral administration of botulinum toxin type A to treat laryngeal dystonia has proved to be a simple, quick, effective and safe technique.
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Affiliation(s)
| | | | - E Bellosta-Diago
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - S Santos-Lasaosa
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | | | - Y Lois-Ortega
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - H Valles-Varea
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
| | - E Lopez-Garcia
- Hospital Clinico Universitario Lozano Blesa, 50009 Zaragoza, Espana
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