Topics:
Head and Neck Cancers • Radiation Oncology
What is your surveillance strategy for locally advanced HPV+ oropharynx cancer after PET CR?
Is any further imaging warranted or is clinical surveillance sufficient? Do you recommend a repeat PET at a year (PMID: 28854069) or beyond?
Answer from: Radiation Oncologist at Community Practice
PET scan at 12 weeks after chemoradiotherapy.
Endoscopic exam by ENT q 2-3 months in year 1; q 3-4 months in year 2; q 6 months in years 3-5. I reiterate time and again the importance of these in light of temporal pattern of local recurrence for HNSCC (usually in first 1-2 years).
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Answer from: Radiation Oncologist at Academic Institution
We looked at this question a few years ago (PMID: 26565997). Our conclusion was no further imaging unless clinical signs or symptoms after the 2 month CT or 3 month PET/CT, with clinical surveillance every 3 months to the 6 month time point, then every 6 months until 2 years, then yearly until 5 ye...
Answer from: Radiation Oncologist at Community Practice
This study showed excellent outcomes with 12 week PET surveillance for patients with p16 positive oropharyngeal cancer with locorgional control 90% plus.