Document Detail


Potential role of fluorine-18-deoxyglucose (FDG) positron emission tomography (PET) in the staging of primitive and recurrent medullary thyroid carcinoma.
MedLine Citation:
PMID:  9413806     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated 5 MTC patients, 3 preoperatively for staging purpose, and 2 after surgery, during the follow-up, because of the persistence of elevated serum tumoral markers. FDG PET results were compared with conventional radiologic (US, CT scan, MRI) and scintigraphic non-invasive techniques (99mTc-MIBI and 99mTc-MDP scans). In all the 3 patients preoperatively studied, PET, as well as the other imaging modalities, detected the primitive tumor and the loco-regional lymphnode metastases. Furthermore, in one case, PET was the only technique that revealed an additional localization to the lungs. One false negative result was recorded with PET, as well as with the conventional imaging, in a MTC patient with a MEN II syndrome and with some liver micrometastases, 2 to 5 mm sized, showed only at laparotomy. PET was the only method capable of early visualizing a mediastinal relapse of the tumor in one of the 2 patients studied during the follow-up. This patient was re-operated and serum calcitonin levels became undetectable. On the basis of our preliminary results on MTC, PET with FDG seems to be an accurate, non-invasive technique, for staging purpose before surgery, and, during the follow-up for visualizing tumoral spread in patients with increased serum tumoral markers.
Authors:
P Gasparoni; D Rubello; G Ferlin
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of endocrinological investigation     Volume:  20     ISSN:  0391-4097     ISO Abbreviation:  J. Endocrinol. Invest.     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1998-01-20     Completed Date:  1998-01-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7806594     Medline TA:  J Endocrinol Invest     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  527-30     Citation Subset:  IM    
Affiliation:
Dipartimenti di Endocrinologia, Ospedale di Castelfranco V.to (TV), Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Carcinoma, Medullary / radionuclide imaging*,  surgery
Female
Fluorine Radioisotopes
Fluorodeoxyglucose F18*
Humans
Male
Middle Aged
Neoplasm Recurrence, Local
Neoplasm Staging*
Thyroid Neoplasms / radionuclide imaging*,  surgery
Tomography, Emission-Computed*
Chemical
Reg. No./Substance:
0/Fluorine Radioisotopes; 63503-12-8/Fluorodeoxyglucose F18

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


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