Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-17T20:04:11.090Z Has data issue: false hasContentIssue false
  • English
  • Français

Bronchoscopy in panendoscopy: review and assessment

Published online by Cambridge University Press:  02 November 2015

A Shahangian  and
E J Damrose
A Shahangian
Affiliation:
Division of Laryngology, Department of Otolaryngology/Head and Neck Surgery, Stanford University School of Medicine, California, USA
E J Damrose*
Affiliation:
Division of Laryngology, Department of Otolaryngology/Head and Neck Surgery, Stanford University School of Medicine, California, USA
*
Address for correspondence: Dr Edward J Damrose, Department of Otolaryngology/ Head and Neck Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305, USA Fax: +1 650 725 8502 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To determine the utility of bronchoscopy to identify synchronous primaries in head and neck cancer patients.

Study design:

Case series with chart review.

Method:

The charts of all patients undergoing bronchoscopy between January 2008 and December 2013 were reviewed. Only those undergoing bronchoscopy as part of panendoscopy for head and neck cancer were included. Operative reports, pathology reports and discharge summaries were reviewed for operative findings, complications and length of hospital stay.

Results:

A total of 404 charts were reviewed and 168 were included in the study. No synchronous primaries were identified. Bronchoscopy changed clinical management in one patient. There were no complications from bronchoscopy.

Conclusion:

Bronchoscopy is a safe and well-tolerated procedure commonly performed in the investigation of head and neck cancer patients, but it adds little additional useful clinical information. Routine performance of bronchoscopy in this setting should be weighed against its added costs, and tailored to the individual patient.

Keywords

BronchoscopyLaryngoscopyEsophagoscopyNeoplasms, Unknown Primary
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 12 , December 2015 , pp. 1220 - 1223
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Presented at the 135th Annual Meeting of the American Laryngological Association, 14–15 May 2014, Las Vegas, Nevada, USA.

References

1Warren, S, Ehrenreicht, T.Multiple primary malignant tumors and susceptibility to cancer. Cancer Res 1944;4:554–70Google Scholar
2Haughey, GA, Arfken, CL, Harvey, JB.Meta-analysis of second malignant tumors in head and neck cancer: the case for an endoscopic screening protocol. Ann Otol Rhinol Laryngol 1992;101:105–12CrossRefGoogle ScholarPubMed
3Weichert, KA, Schumrick, D.Multiple malignancies in patients with primary carcinomas of the head and neck. Laryngoscope 1979;89:988–91CrossRefGoogle ScholarPubMed
4Vrabec, DP.Multiple primary malignancies of the upper aerodigestive system. Ann Otol Rhinol Laryngol 1979;88:846–54CrossRefGoogle ScholarPubMed
5Hordijk, GJ, de Jong, JM.Synchronous and metachronous tumours in patients with head and neck cancer. J Laryngol Otol 1983;97:619–21CrossRefGoogle ScholarPubMed
6De Vries, N, Van Der Waal, I, Snow, GB.Multiple primary tumours in oral cancer. Int J Oral Maxillofac Surg 1986;15:85–7CrossRefGoogle ScholarPubMed
7Shibuya, H, Hisamitsu, S, Shioiri, S, Horiuchi, J, Suzuki, S.Multiple primary cancer risk in patients with squamous cell carcinoma of the oral cavity. Cancer 1987;60:3083–63.0.CO;2-L>CrossRefGoogle ScholarPubMed
8Parker, JT, Hill, JH.Panendoscopy in screening for synchronous primary malignancies. Laryngoscope 1988;98:147–9CrossRefGoogle ScholarPubMed
9Gluckman, JD, Crissman, JD, Donegan, JO.Multicentric squamous-cell carcinoma of the upper aerodigestive tract. Head Neck Surg 1980;3:90–6CrossRefGoogle ScholarPubMed
10Rodriguez-Bruno, K, Ali, MJ, Wang, SJ.Role of panendoscopy to identify synchronous second primary malignancies in patients with oral cavity and oropharyngeal squamous cell carcinoma. Head Neck 2011;33:949–53CrossRefGoogle ScholarPubMed
11Stokkel, MP, Moons, KG, ten Broek, FW, van Rijk, PP, Hordijk, GJ.18 F-fluorodeoxyglucose dual-head positron emission tomography as a procedure for detecting simultaneous primary tumors in cases of head and neck cancer. Cancer 1999;86:2370–73.0.CO;2-B>CrossRefGoogle ScholarPubMed
12Tsao, GJ, Damrose, EJ.Complications of esophagoscopy in an academic training program. Otolaryngol Head Neck Surg 2010;142:500–4CrossRefGoogle Scholar
13Stoeckli, SJ, Zimmermann, R, Schmid, S.Role of routine panendoscopy in cancer of the upper aerodigestive tract. Otolaryngol Head Neck Surg 2001;124:208–12CrossRefGoogle ScholarPubMed
14Kerawala, CJ, Bisase, B, Lee, J.The use of examination under anaesthesia and panendoscopy in patients presenting with oral cavity and oropharyngeal squamous cell carcinoma. Ann R Coll Surg Engl 2009;91:609–12CrossRefGoogle ScholarPubMed
15Rennemo, E, Zätterström, U, Boysen, M.Synchronous second primary tumors in 2,016 head and neck cancer patients: role of symptom-directed panendoscopy. Laryngoscope 2011;121:304–9CrossRefGoogle Scholar
16Nguyen, P, Bashirzadeh, F, Hodge, R, Agnew, J, Farah, CS, Duhiq, E et al. High specificity of combined narrow band imaging and autofluorescence mucosal assessment of patients with head and neck cancer. Head Neck 2013;35:619–25CrossRefGoogle ScholarPubMed
17Fielding, D, Agnew, J, Wright, D, Hodge, R.Autofluorescence improves pretreatment mucosal assessment in head and neck cancer patients. Otolaryngol Head Neck Surg 2010;142:S20–6CrossRefGoogle ScholarPubMed
18Skinner, LJ, Timon, CI.Panendoscopy and bronchial washings: role and efficacy in detection of simultaneous primary head and neck cancers. J Laryngol Otol 2000;114:690–3CrossRefGoogle ScholarPubMed