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PATHOLOGICAL LYMPH NODES IN THE HEAD AND NECK

“ •   Positron emission tomography (PET)/computed tomography is highly sensitive for diagnosis and follow-up of head and neck cancer. •   St...

•  Positron emission tomography (PET)/computed tomography is highly sensitive for diagnosis and follow-up of head and neck cancer.
•  Standardised uptake value (SUV) is a measure of the relative activity of a lesion on PET, adjusted according to dose given and patient size. SUV >3 is pathological.
•  In patients with head and neck cancer, a single ipsilateral enlarged node means a reduction of survival by 50%.
•  Know the lymph node levels of the head and neck and their boundaries (e.g. the hyoid/carotid bifurcation divides II from III; the junction of the hyoid muscle with the sternocleidomastoid muscle divides III from IV).