李剑明, 辛军, 王晓明, 刘长军, 翟伟. 18F-FDG PET/CT全身显像在寻找肿瘤原发灶中的临床价值[J]. 中国肿瘤临床, 2007, 34(17): 1001-1003,1007.
引用本文: 李剑明, 辛军, 王晓明, 刘长军, 翟伟. 18F-FDG PET/CT全身显像在寻找肿瘤原发灶中的临床价值[J]. 中国肿瘤临床, 2007, 34(17): 1001-1003,1007.
Li Jianming, Xin Jun, Wang Xiaoming, Liu Changjun, Yi Wei. The Clinical Value of Detecting Primary Tumors with 18F-FDG PET/CT Whole Body Imaging[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(17): 1001-1003,1007.
Citation: Li Jianming, Xin Jun, Wang Xiaoming, Liu Changjun, Yi Wei. The Clinical Value of Detecting Primary Tumors with 18F-FDG PET/CT Whole Body Imaging[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2007, 34(17): 1001-1003,1007.

18F-FDG PET/CT全身显像在寻找肿瘤原发灶中的临床价值

The Clinical Value of Detecting Primary Tumors with 18F-FDG PET/CT Whole Body Imaging

  • 摘要: 目的 :回顾性探讨了18F-FDG PET/CT显像在寻找肿瘤原发灶中的临床价值。 方法 :对33例原发灶不明转移癌(CUP)患者行18F-FDG PET/CT全身显像,通过视觉判断和SUV测定对原发灶和转移灶进行判断,并经随访观察、综合诊断证实。 结果 :33个病例中找到原发灶者25例(75.8%,25/33),其中肺癌9例,肝癌2例,鼻咽癌2例,甲状腺癌2例,乳腺癌、食管癌、胃癌、胰腺癌、肠癌、肾癌、前列腺癌、脑胶质瘤、淋巴瘤和腹膜后肌母细胞瘤各1例。 结论 :18F-FDG PET/CT全身显像能有效地发现CUP患者的原发灶,一次扫描能了解全身各脏器病灶分布情况,这对选择正确的治疗方案、评价患者预后有着重要的临床意义。

     

    Abstract: Objective :To retrospectively analyze the clinical value of detecting primary tumorswith 18F-FDG PET/CT whole body imaging. Methods :Thirty-three patients with cancers of unknownprimary (CUP) sites underwent 18F-FDG PET/CT whole body imaging. The primary tumors and metas-tases were detected by visual evaluation and measurements of standardized uptake values (SUVs).Thefinal results were confirmed with clinical follow-up or more comprehensive analysis. Results :Primarytumors were confirmed with 18F-FDG PET/CT whole body imaging in 25/33 (75.8%) cases. Among the25 cases whose primary tumors were confirmed, 9 had tumors in the lung, 2 had tumors in the liver, 2had tumors in the nasopharynx, and 2 had tumors in the thyroid. The remaining tumors were found inthe breast, esophagus, stomach, pancreas, intestinal tract, kidney, prostate gland, brain, lymphatic sys-tem, and blast cells in the retroperitoneum. Conclusion :18F-FDG PET/CT whole body imaging effec-tively finds primary tumors in patients with CUP.The distribution of lesions can be clearly reflected inthe whole body by one scan,a feature that has important clinical significance for selecting appropriatetherapeutic methods and evaluating prognosis.

     

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