caa a22 4500 606184600 CHVBK 20210128100827.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00405-014-3019-1 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3019-1 Initial staging of head and neck squamous cell carcinoma. What is the place of bronchoscopy and upper GI endoscopy? [Elektronische Daten] [Cyril Page, Emily Lucas-Gourdet, Aurélie Biet-Hornstein, Vladimir Strunski] To determine the place of bronchoscopy and upper GI endoscopy in the initial staging of head and neck squamous cell carcinoma (HNSCC). A 10-year retrospective study was conducted on a series of 838 patients. As part of initial staging of the tumor, all patients were examined by neck and chest CT scan, 487 patients were examined by bronchoscopy and 588 patients were examined by upper GI endoscopy. Esophageal cancer was detected in 4.25% of cases and lung cancer in 6.35% of cases. Chest CT scan was statistically superior to bronchoscopy to detect second lung cancers (p<0.05). On multivariate analysis, oral cancers (p=0.009) and multiple (synchronous) HNSCC (p=0.009) were associated with the presence of a second lung cancer. Systematic bronchoscopy (performed by a pulmonologist) might not to be indicated for initial staging of HNSCC, particularly in the presence of normal chest CT scan. In case of abnormal Chest CT scan, patients should be referred to a pulmonologist. However, as oral cancers and multiple (synchronous) HNSCCs were statistically associated with the presence of a second lung cancer in this study, bronchoscopy might be indicated in these cases in order to detect rare small proximal bronchic lesions which might be invisible on chest CT scan in these patients at risk. More, systematic upper GI endoscopy (performed by a gastroenterologist) for initial staging of HNSCC might also not to be indicated in a majority of cases. Springer-Verlag Berlin Heidelberg, 2014 Head and neck squamous cell carcinoma nationallicence Upper GI fibroscopy nationallicence Bronchoscopy nationallicence Chest CT scan nationallicence Initial staging of head and neck cancers nationallicence Synchronous cancers nationallicence Page Cyril Service d'ORL et de chirurgie de la face et du cou, Centre Hospitalier Nord, Amiens University Hospital, Place Victor Pauchet, 80054, Amiens Cedex, France aut Lucas-Gourdet Emily Service d'ORL et de chirurgie de la face et du cou, Centre Hospitalier Nord, Amiens University Hospital, Place Victor Pauchet, 80054, Amiens Cedex, France aut Biet-Hornstein Aurélie Service d'ORL et de chirurgie de la face et du cou, Centre Hospitalier Nord, Amiens University Hospital, Place Victor Pauchet, 80054, Amiens Cedex, France aut Strunski Vladimir Service d'ORL et de chirurgie de la face et du cou, Centre Hospitalier Nord, Amiens University Hospital, Place Victor Pauchet, 80054, Amiens Cedex, France aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/3(2015-03-01), 705-709 0937-4477 272:3<705 2015 272 405 https://doi.org/10.1007/s00405-014-3019-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3019-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Page Cyril Service d'ORL et de chirurgie de la face et du cou, Centre Hospitalier Nord, Amiens University Hospital, Place Victor Pauchet, 80054, Amiens Cedex, France aut NATIONALLICENCE 700 1- Lucas-Gourdet Emily Service d'ORL et de chirurgie de la face et du cou, Centre Hospitalier Nord, Amiens University Hospital, Place Victor Pauchet, 80054, Amiens Cedex, France aut NATIONALLICENCE 700 1- Biet-Hornstein Aurélie Service d'ORL et de chirurgie de la face et du cou, Centre Hospitalier Nord, Amiens University Hospital, Place Victor Pauchet, 80054, Amiens Cedex, France aut NATIONALLICENCE 700 1- Strunski Vladimir Service d'ORL et de chirurgie de la face et du cou, Centre Hospitalier Nord, Amiens University Hospital, Place Victor Pauchet, 80054, Amiens Cedex, France aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/3(2015-03-01), 705-709 0937-4477 272:3<705 2015 272 405