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Additional value of PET-CT in staging of clinical stage IIB and III breast cancer.
MedLine Citation:
PMID:  21070439     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
To evaluate retrospectively the accuracy of integrated PET/CT, against PET, CT, or conventional staging in breast cancer. Seventy consecutive biopsy proven clinical stage IIB and III breast cancer patients were included. Descriptive statistics of integrated PET/CT for the primary tumor, nodal status and metastasis detection were compared to PET, CT with contrast, and conventional staging (biochemistry, chest X-ray, liver ultrasound, and bone scintigraphy). Sensitivity of PET/CT for primary tumor and nodal status was 97.1% and 62.5%, respectively. Specificity and negative predictive value for nodal status were 100% and 66.6%, respectively. The values for conventional staging for nodal involvement were 100% and 85.7% with a sensitivity of 87.5%. PET/CT showed metastatic disease in seven women despite normal conventional staging. PET/CT is able to visualize most clinical stage IIB and III primary breast cancers. PET/CT is superior to conventional staging for detecting internal mammary chain nodes and metastatic disease, but not for axillary staging. Future studies will have to test whether therapy adjustment based on PET/CT has the potential to improve survival.
Authors:
Isabelle Segaert; Felix Mottaghy; Sarah Ceyssens; Walter De Wever; Sigrid Stroobants; Chantal Van Ongeval; Eric Van Limbergen; Hans Wildiers; Robert Paridaens; Ignace Vergote; Marie-Rose Christiaens; Patrick Neven
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The breast journal     Volume:  16     ISSN:  1524-4741     ISO Abbreviation:  Breast J     Publication Date:    2010 Nov-Dec
Date Detail:
Created Date:  2010-11-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9505539     Medline TA:  Breast J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  617-24     Citation Subset:  IM    
Copyright Information:
© 2010 Wiley Periodicals, Inc.
Affiliation:
Department of Obstetrics and Gynaecology, University Hospitals Leuven, Leuven, Belgium. isabellesegaert@hotmail.com
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