Upstaging of Invasive Lobular Cancer With FES PET/CT.

IF 9.6 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical Nuclear Medicine Pub Date : 2025-03-01 Epub Date: 2024-10-10 DOI:10.1097/RLU.0000000000005465

Saud Rehman, Christine E Edmonds, David A Mankoff, Austin R Pantel, Sophia R O'Brien

引用次数: 0

Abstract

Abstract: A 78-year-old woman diagnosed with left breast invasive lobular carcinoma with left axillary nodal metastasis underwent 18 F-fluoroestradiol (FES) PET/CT imaging for further evaluation of indeterminate right axillary lymph nodes seen on staging 18 F-FDG PET/CT. 18 F-FES PET/CT revealed abnormal 18 F-FES-avid right axillary and bilateral cervical nodes, subsequently biopsy-proven metastases, upstaging the patient from stage II to IV and greatly changing patient management. This case demonstrates the value of 18 F-FES PET/CT in accurately staging metastatic invasive lobular carcinoma at diagnosis, an indication for which 18 F-FES PET/CT "may be appropriate" per current Society of Nuclear Medicine and Molecular Imaging guidelines.

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利用 FES PET/CT 对浸润性肺叶癌进行分期。

摘要：一名被诊断为左乳腺浸润性小叶癌伴左腋窝结节转移的78岁女性接受了18 F-氟雌二醇（FES）PET/CT成像检查，以进一步评估分期18 F-FDG PET/CT检查中发现的不确定的右腋窝淋巴结。18 F-FES PET/CT 发现了异常的 18 F-FES-avid 右侧腋窝淋巴结和双侧颈部淋巴结，随后活检证实了转移灶，将患者从 II 期提升到 IV 期，大大改变了患者的治疗方案。本病例证明了 18 F-FES PET/CT 在诊断时对转移性浸润性小叶癌进行准确分期的价值，根据目前的核医学和分子影像学会指南，18 F-FES PET/CT "可能适合 "这一适应症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Nuclear Medicine 医学-核医学

CiteScore

2.90

自引率

31.10%

发文量

1113

审稿时长

2 months

期刊介绍： Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.