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Diagnosis of Bilateral Tonsil Cancers via Staging PET/CT: Case Report and Review.

  • Mannina, EM
  • Pejavar, SM
  • Glastonbury, CM
  • van Zante, A
  • Wang, SJ
  • Yom, SS
Publication Date
Jan 01, 2011
eScholarship - University of California
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Diagnostic workup of metastatic head and neck squamous cell carcinoma of unknown primary site has traditionally included CT and/or MRI imaging and endoscopic biopsies. Routine bilateral tonsillectomy is highly controversial and the role of PET/CT is evolving, both for identification of potential primary sites and the detection of distant metastases. We report a case of cervical nodal metastasis of squamous cell carcinoma from an unknown primary site, in which dual-modality PET/CT led to the unexpected diagnosis of synchronous bilateral tonsillar cancers. In addition, PET/CT correctly distinguished pulmonary sarcoidosis from metastatic disease in this patient.

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