Abstract:
:In Germany high-resolution sonography using the color duplex mode in addition to computed tomography (CT) is a well-established and proven method in the context of restaging after primary therapy of head and neck squamous cell cancer (HNSCC). There are no international evidence-based restaging guidelines. Decisions concerning neck dissection (ND) after primary radiochemotherapy (RCT) are often individually derived in the respective tumor conferences and are therefore subject to variance. Compared to the UK or USA, in Germany there is a high level of expertise in the use of ultrasound in combination with CT for the routine restaging of HNSCC after RCT. Using high-resolution sonography (B-mode and color duplex) morphological changes in neck lymph nodes can be clearly detected. Another important aspect in the field of sonographic follow-up is the accurate and standardized documentation of findings and control of dynamic changes during follow-up. In summary, clinical presentation and sonography enable therapeutic decisions and treatment from one source.
journal_name
HNOjournal_title
HNOauthors
Künzel J,Bozzato A,Strieth Sdoi
10.1007/s00106-017-0411-3subject
Has Abstractpub_date
2017-11-01 00:00:00pages
939-952issue
11eissn
0017-6192issn
1433-0458pii
10.1007/s00106-017-0411-3journal_volume
65pub_type
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