Document Detail


The impact of PET/CT on therapeutic strategy of patients with colorectal cancer metastasis.
MedLine Citation:
PMID:  19760922     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND/AIMS: The study's aim was to assess the impact of the PET/CT on the therapeutic strategy of the patients with colorectal cancer metastasis. METHODOLOGY: Fifteen patients who were suspicious of postoperative colorectal cancer metastasis were included in the study. Each patient received a positron emission tomography/computed tomography (PET/CT) after received contrast-enhanced computed tomography (ceCT). The therapeutic strategies were made before and after the PET/ CT respectively. The lesions confirmed by pathology or periodic follow up of ceCT (3 and 6 mo). RESULTS: Intrahepatic metastases were present in 5 of the 15 patients, total 9 lesions. The specificities of the PET/CT and ceCT were 100%. The patients with intrahepatic metastases were detected by PET/CT and ceCT with a sensitivity of 100% and 80%, respectively (p = 0.0009). Extrahepatic metastases were present in 11 of the 15 patients, total 32 lesions. The specificities of the PET/CT and ceCT were 75% and 50%, respectively. PET/ CT and ceCT were with a sensitivity of 100% and 63.6%, respectively (p = 0.0177). The therapeutic strategies were changed after received PET/CT in 6 (40%) of the 15 patients. CONCLUSIONS: PET/CT is superior to ceCT for the detection of the metastatic lesions of the colorectal cancer, and is a valuable tool to help select the correct therapeutic strategies.
Authors:
Yan-Nan Liu; Mei-Xiong Huang; Qi An; Jun-Min Wei
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  56     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2009-09-17     Completed Date:  2009-10-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  968-70     Citation Subset:  IM    
Affiliation:
Department of General Surgery, Beijing Hospital, Beijing, China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Colorectal Neoplasms / pathology,  radiography*,  radionuclide imaging*
Contrast Media
Female
Humans
Male
Middle Aged
Neoplasm Metastasis / pathology,  radiography*,  radionuclide imaging*
Tomography, Emission-Computed / methods*
Tomography, X-Ray Computed / methods*
Chemical
Reg. No./Substance:
0/Contrast Media

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