Emerson Ralph, Agrawal Kanhaiyalal, Singh Parneet, Patro P Sai Sradha, Kumar Navneet
From the Department of Nuclear Medicine, All India Institute of Medical Sciences, Bhubaneswar, India.
Clin Nucl Med. 2025 Mar 1;50(3):e180-e181. doi: 10.1097/RLU.0000000000005582. Epub 2024 Nov 19.
Oral squamous cell carcinoma (OSCC) is one of the most common malignancies worldwide. Locoregional nodal involvement by OSCC is commonly encountered. Current conventional and functional imaging modalities have limited diagnostic accuracy in nodal assessment, particularly in head and neck cancer. Thus, definitive management of head and neck malignancies customarily addresses the locoregional nodes along with the primary malignancy. However, OSCC, particularly tongue cancer, shows erratic lymphatic drainage and thus commonly requires extensive bilateral neck dissection, leading to significant morbidity. Cancer integrin imaging with 68 Ga-trivehexin PET-CT can offer highly specific result and thus has the potential for effective tailored management.
口腔鳞状细胞癌(OSCC)是全球最常见的恶性肿瘤之一。OSCC出现局部区域淋巴结受累很常见。目前的传统和功能成像方式在淋巴结评估中的诊断准确性有限,尤其是在头颈癌中。因此,头颈恶性肿瘤的确定性治疗通常会同时处理局部区域淋巴结和原发性恶性肿瘤。然而,OSCC,尤其是舌癌,表现出不规则的淋巴引流,因此通常需要进行广泛的双侧颈清扫术,这会导致严重的发病率。使用68 Ga-曲妥昔单抗PET-CT进行癌症整合素成像可以提供高度特异性的结果,因此有潜力实现有效的个体化治疗。