Document Detail


Detection of unsuspected distant metastases and/or regional nodes by FDG-PET [corrected] scan in apparent limited-disease small-cell lung cancer.
MedLine Citation:
PMID:  17537538     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We retrospectively investigated the clinical usefulness of fluorodeoxyglucose positron emission tomography (FDG-PET) for evaluation of patients with limited-disease small-cell lung cancer (LD-SCLC) diagnosed by conventional staging procedures. Sixty-three patients received whole body FDG-PET scans after routine initial staging procedures. The findings of FDG-PET scans suggesting extensive-stage disease were confirmed by other imaging tests or by the patient's clinical course. FDG-PET scan findings indicated distant metastases in 6 of 63 patients. Metastatic disease was confirmed in five of these six patients (8%, 95% confidence interval: 3-18%). FDG-PET scan also detected regional lymph node metastases even in nine patients (14%) in whom computed tomography images had been negative, including contralateral lymph node metastasis in three patients. FDG-PET scan detected additional lesions in patients diagnosed as having LD-SCLC by conventional staging procedures. The therapeutic strategies were changed in 8% of patients based on the results of FDG-PET. FDG-PET scan is recommended as an initial staging tool for patients with this disease.
Authors:
Seiji Niho; Hirofumi Fujii; Koji Murakami; Seisuke Nagase; Kiyotaka Yoh; Koichi Goto; Hironobu Ohmatsu; Kaoru Kubota; Ryuzo Sekiguchi; Shigeru Nawano; Nagahiro Saijo; Yutaka Nishiwaki
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-05-29
Journal Detail:
Title:  Lung cancer (Amsterdam, Netherlands)     Volume:  57     ISSN:  0169-5002     ISO Abbreviation:  Lung Cancer     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-27     Completed Date:  2007-12-14     Revised Date:  2008-02-25    
Medline Journal Info:
Nlm Unique ID:  8800805     Medline TA:  Lung Cancer     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  328-33     Citation Subset:  IM    
Affiliation:
Division of Thoracic Oncology, National Cancer Center Hospital East, Kashiwanoha 6-5-1, Kashiwa, Chiba 277-8577, Japan. siniho@east.ncc.go.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Carcinoma, Small Cell / radionuclide imaging*,  secondary*
Female
Fluorodeoxyglucose F18 / diagnostic use
Humans
Lung Neoplasms / pathology*
Lymphatic Metastasis
Male
Middle Aged
Neoplasm Staging
Positron-Emission Tomography*
Radiopharmaceuticals / diagnostic use
Chemical
Reg. No./Substance:
0/Radiopharmaceuticals; 63503-12-8/Fluorodeoxyglucose F18
Comments/Corrections
Erratum In:
Lung Cancer. 2007 Dec;58(3):432

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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