FDG-PET Scan in Patients with Pelvic Recurrence of Cervical Cancer / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology
; : 991-997, 2003.
Article
in Ko
| WPRIM
| ID: wpr-107125
Responsible library:
WPRO
ABSTRACT
OBJECTIVE: The purpose of this study was to investigate the clinical feasibility of FDG-PET scan in selection of patients with pelvic recurrence of cervical cancer for surgical treatment. METHODS: From Jun. 2001 to Oct. 2002, whole body FDG-PET scan findings were compared with findings of CT, MRI, and pathologic reports in 24 patients with pelvic recurrence of cervical cancer. PET scan was obtained with a GE Advance PET scanner, beginning at 60 minutes after injection of 370-555 MBq (10- 15 mCi) of 18F FDG. Regional scan was also obtained if needed. Uptake exceeding 2.5 SUV was determined as a positive finding. RESULTS: Among these 24 patients, 10 patients had metastatic lesions at pelvic lymphnodes (4), para- aortic lymphnodes (3), mediastinal lympnnodes (1), lung (4), and bone (1). Among 14 patients with no metastasis, 10 patients underwent surgical treatment but the operations were abandoned in 2 patients due to lymphnodes metastasis and pelvic peritoneal spreads that confused as normal FDG uptake of the intestines pre- operatively. Among 8 patients whom the operation was completed, 3 patients received pelvic exenteration, 2 patients received CORT, and 3 patients received LEER. CONCLUSION: FDG-PET is clinically feasible in selection of patients with pelvic recurrence of cervical cancer for surgical treatment.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pelvic Exenteration
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Recurrence
/
Magnetic Resonance Imaging
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Uterine Cervical Neoplasms
/
Positron-Emission Tomography
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Intestines
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Lung
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Neoplasm Metastasis
Limits:
Humans
Language:
Ko
Journal:
Korean Journal of Obstetrics and Gynecology
Year:
2003
Type:
Article