Role of Chest Computed Tomography in Head and Neck Cancer

摘要: Objectives: To evaluate the role of chest computed tomography (CT) in patients with head and neck squamous cell carcinoma (HNSCC) to determine optimal timing predictive factors for positive findings. Design: Retrospective analysis. Setting: Tertiary referral center. Patients:TwohundredseventyscreeningchestCTscans performed 192 HNSCC during a 42month period were reviewed. Main Outcome Measures: The scans categorized as new cases, follow-up or recurrent cases. results classified abnormal normal. Scans having radiologic diagnosis malignant neoplasmofthelungoranindeterminatelesionwereconsidered abnormal. Factors correlating an CT scan development neoplasm lung analyzed, including imaging patients’ clinicopathologic data. Results: Seventy-nine (29.3%) considered rate was significantly higher case group (44.2%) than (14.2%) (P.001). Ten 15 indeterminate (66.7%) small (1 cm) solitary pulmonary nodules showed disease progression on subsequent scans, changing diagnoses lung. initial N2 N3 disease, stage IV distant metastasis another site. Conclusions: Chest is recommended high-risk patients, especially period. Intensified evaluation management are mandatory because high neoplasms.