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ID 110185
Title Transcription
ゲンパツ フメイ ガン ニオケル PET/CT ケンサ ノ ユウヨウセイ ニツイテ
Title Alternative
Utility of FDG-PET/CT examination for patients with cancer of unknown primary origin
Author
Morita, Naomi Department of Radiology, Tokushima University Hospital
Yamashita, Kyo Division of Medical Technology, Tokushima University Hospital
Kunikane, Yamato Department of Radiology, Institute of Health Biosciences, The University of Tokushima Graduate School
Fujita, Akihiko Department of Radiology, Institute of Health Biosciences, The University of Tokushima Graduate School
Yuasa, Masao Department of Radiology, Institute of Health Biosciences, The University of Tokushima Graduate School
Shitakubo, Yasufumi Department of Radiology, Institute of Health Biosciences, The University of Tokushima Graduate School
Saegusa, Hiroshi Department of Radiology, Institute of Health Biosciences, The University of Tokushima Graduate School
Kishi, Taro Department of Radiology, Institute of Health Biosciences, The University of Tokushima Graduate School
Nose, Hayato Department of Radiology, Tokushima University Hospital
Hirayama, Ayumi Department of Radiology, Tokushima University Hospital
Sato, Kazuo Department of Radiology, Institute of Health Biosciences, The University of Tokushima Graduate School
Nishitani, Hiromu Department of Radiology, Tokushima University Hospital|Division of Radiology, Tokushima University Hospital|Division of Medical Technology, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
cancer unknown primary origin
FDG, PET/CT
Content Type
Journal Article
Description
We reported the utility of18F-FDG-PET/CT examination for patients with cancer of unknownprimary origin. Twenty six patients(13 men, 13 women, aged 27-91 years, mean 71)were examined.The indication for PET/CT examination was tumor maker elevation(14 patients), suspectedmetastatic tumor(14)and metastasis diagnosed histopathologically(3). Patients weretold not to eat for at least four hours and a PET/CT image was obtained one hour after theadministration of 3.7MBq/kg FDG. From April to August 2006, 33 patients diagnosed with a cancerof unknown primary origin were referred to our hospital for PET/CT examination from anoutside institution. Twenty six patients could be investigated for outcomes. Seventeen patientsshowed an abnormal accumulation, with 14 of the 17 having their primary regions detected histopathologicallyor clinically. For one patient, the abnormal accumulation could not be determined toshow the origin. For 2 patients, it was difficult to diagnose if these abnormal accumulationsshowed the primary region or not, but CT examinations were helpful for a diagnosis. Seven of the9 patients who showed no abnormal accumulation were treated conservatively and the primaryregion for their cancer could not be detected during the follow up study. In 21 of 26 patients, theseresults were useful to select an appropriate therapy to be applied or a relevant examination. Weconsidered PET/CT examination, where it is possible to scan the whole body at one time, was veryuseful to get both morphologic and metabolic information. PET/CT examination showed a highersensitivity for detecting abnormal lesions than other imaging modalities.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
63
Issue
3-4
Start Page
121
End Page
126
Sort Key
121
Published Date
2007-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences