18F-FDG-PET对血清肿瘤标志物水平升高怀疑卵巢癌复发的临床影响

J Jiménez-Bonilla MD , A Maldonado MD , S Morales MD , A Salud MD , M Zomeño MD , J Román MD , J Belon MD , F Moya MD
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引用次数: 29

摘要

目的:回顾性评价18f -氟脱氧葡萄糖正电子发射断层扫描(FDG-PET)对怀疑复发性卵巢癌患者的诊断和临床管理的贡献,基于正常或模糊的计算机断层扫描(CT)或核磁共振(NMR)的肿瘤标志物水平升高。方法:20例具有上述特征的患者行FDG-PET检查。14例经PET证实,7例经手术证实,另外7例经临床病程证实。结果:12例确诊复发,均为FDG-PET阳性。2例排除复发,1例FDG-PET阴性。FDG-PET正确率为93%,避免4例手术,指导6例手术。结论:FDG-PET是一种有效的检测复发性卵巢癌的技术,对肿瘤标志物水平升高和形态学成像结果正常或不明确的患者有重要的临床意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Impact of 18F-FDG-PET in the Suspicion of Recurrent Ovarian Carcinoma Based on Elevated Tumor Marker Serum Levels

Purpose: To retrospectively evaluate the contribution of 18F-fluorodeoxy-glucose-positron emission tomography (FDG-PET) to the diagnosis and clinical management of patients who were suspected of recurrent ovarian carcinoma, based on elevated tumor markers levels with normal or equivocal computed tomography (CT) or nuclear magnetic resonance (NMR).

Procedures: 20 patients with these characteristics underwent FDG-PET. PET findings were confirmed in 14, in 7 by surgery, and in the other 7 by clinical course.

Results: Recurrence was confirmed in 12 patients, all with FDG-PET positive. In other 2, recurrence was rule out and in 1, FDG-PET was negative. FDG-PET accuracy was 93% with 4 surgeries avoided and guided other 6.

Conclusions: FDG-PET is an useful technique for detecting recurrent ovarian carcinoma suspected by elevated tumor markers levels and normal or equivocal results in the morphologic imaging techniques and has an important clinical impact on the management of these patients.

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