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  1. Dokkyo Journal of Medical Sciences
  2. 38(1) 2011

Preoperative Diagnosis of Multiple Primary Malignant Neoplasm in Gastrointestinal and Breast Cancers:Impact of FDG-PET/CT

https://dmu.repo.nii.ac.jp/records/917
https://dmu.repo.nii.ac.jp/records/917
304dac5d-4304-40c8-b58a-2bb8680c61e3
名前 / ファイル ライセンス アクション
KJ00006978699.pdf KJ00006978699.pdf (91.1 kB)
Item type [ELS]学術雑誌論文 / Journal Article(1)
公開日 2017-05-24
タイトル
タイトル Preoperative Diagnosis of Multiple Primary Malignant Neoplasm in Gastrointestinal and Breast Cancers:Impact of FDG-PET/CT
言語 en
言語
言語 eng
キーワード
言語 en
主題 PET/CT
キーワード
言語 en
主題 FDG
キーワード
言語 en
主題 multiple primary malignant neoplasm
キーワード
言語 en
主題 synchronous cancer
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
雑誌書誌ID
収録物識別子 AA00629581
論文名よみ
タイトル Preoperative Diagnosis of Multiple Primary Malignant Neoplasm in Gastrointestinal and Breast Cancers:Impact of FDG-PET/CT
著者 Kishimoto, Gustavo

× Kishimoto, Gustavo

en Kishimoto, Gustavo

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Murakami, Koji

× Murakami, Koji

en Murakami, Koji

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Sakamoto, Setsu

× Sakamoto, Setsu

en Sakamoto, Setsu

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著者所属(英)
en
PET Center, Dokkyo Medical University Hospital
著者所属(英)
en
Department of Radiology and Nuclear Medicine, Keio University School of Medicine
著者所属(英)
en
PET Center, Dokkyo Medical University Hospital
記事種別(日)
内容記述タイプ Other
内容記述 原著
記事種別(英)
内容記述タイプ Other
内容記述 Original
抄録(日)
内容記述タイプ Other
内容記述 SUMMARYObjective:The reports of multiple primary malignant neoplasm (MPMN) have increased due to the developmentof imaging technologies that have influenced the extension of the 5-year relative survival ratefor all cancers. Integrated positron emission and computed tomography( PET/CT) with 18F-fluorodeoxyglucose(FDG) has shown its advantages for detecting, staging, evaluating the prognosis, and offering betterinsights for survivors, their families and physicians. The aim of this study was to retrospectively investigatethe impact of whole-body FDG-PET/CT in detecting MPMN during the initial staging work-up of gastrointestinaland breast malignancy, and to describe their characteristics.Methods:The cases were identified by reviewing the Dokkyo Medical University Hospital PET Center'sdatabase, searching for patients referred from the Department of Surgical Oncology and the Department ofGastroenterological Surgery, who underwent preoperative staging with whole-body FDG PET/CT at ourcenter between January 2007 and December 2009. A total of 778 patients matched these criteria. Of them,40 PET/CT reports mentioned suspicious cases of MPMN. The medical records of these 40 cases were retrievedand examined. The follow-up data of these patients was reviewed until February 2010.Results:Of 778, 32 patients were diagnosed with additional unexpected cancers, which 27( 3.5%) wereincidental double cancers and 5( 0.64%) had triple primary lesions. Overall 37 MPMN, twelve correspondedto stage 0, nineteen to stages I−II, three to stages III−IV, and three remained uncertain. Sensitivity andpositive predictive value of FDG PET/CT in detecting a controversial lesion were 76.5% and 70.3%, respectively.The colorectum was the most common site for synchronous MPMN (17 of 37 cancers;45.9%), followedby stomach( 9;24.3%), prostate( 3;8.1%), thyroid( 3;8.1%), breast( 2;5.4%), biliary duct( 1;2.7%), kidney( 1;2.7%), and lung( 1;2.7%).Conclusions:FDG PET/CT was useful for finding multiple primary malignant neoplasm with a relativelyhigh sensitivity. Physicians should pay special attention to rule out the presence of unexpected additionalprimary lesions in initial staging work-up for colorectal cancer.
書誌情報 Dokkyo journal of medical sciences

巻 38, 号 1, p. 9-16, 発行日 2011-03-25
ISSN
収録物識別子タイプ ISSN
収録物識別子 03855023
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