18F—FDG PET—CT显像在妇科恶性肿瘤复发中的应用价值探讨> 18F—FDG PET(1)
【摘要】 目的：探讨18F-FDG PET-CT显像在妇科恶性肿瘤复发中的临床应用价值。方法：选取经过本院确诊的30例妇科恶性肿瘤患者，分为两组，第一组10例，治疗后采取18F-FDG PET-CT显像检查有无肿瘤复发现象；第二组20例，临床上已经被怀疑存在肿瘤复发情况，利用18F-FDG PET-CT显像技术进行明确诊断。探讨18F-FDG PET-CT显像在妇科肿瘤复发中的临床应用价值。结果：第一组中有8例患者在治疗后首次进行18F-FDG PET-CT显像检查结果呈阴性，其中1例患者在半年后再次进行18F-FDG PET-CT显像呈阳性，经过检查以及手术证实为消化系统癌症；另外2例患者18F-FDG PET-CT显像结果虽然为阳性，但是经过检查并未发现有肿瘤复发的现象，且至今身体状况良好，所以考虑术后改变导致的18F-FDG PET-CT结果呈现假阳性。第二组中15例患者的18F-FDG PET-CT显像结果呈阳性，其中3例经过手术病理证实为肿瘤复发；而另外12例给予化疗或放疗措施，其中7例患者的肿瘤病灶缩小，2例患者因为治疗无效而死亡，3例患者的病灶并无明显的变化；5例患者的18F-FDG PET-CT显像结果为阴性，其中2例再次进行18F-FDG PET-CT检查时结果为阳性，经手术证实为肿瘤复发，另外3例患者至今没有发现复发现象。结论：18F-FDG PET-CT显像对妇科恶性肿瘤的复发可以及时诊断出来，从而可以对复发患者进行及时而针对性的治疗，降低患者的痛苦以及死亡率，18F-FDG PET-CT显像是一种有效的方法，对于在临床治疗肿瘤方面制定和调整方案有着重要的意义。
, 百拇医药
【关键词】 18F-FDG PET-CT显像； 妇科恶性肿瘤； 复发； 应用价值
【Abstract】 Objective： To evaluate application value of 18F-FDG PET-CT in diagnosing recurrent gynecologic carcinoma. Method： We chose 30 patients with gynecologic carcinoma after diagnosing and divided these patients into two groups. The first group contained 10 cases， they underwent the 18F-FDG PET-CT to examine the recurrent carcinoma after treatment. The second group contained 20 cases， and they were suspicious of recurrence in the clinic and they underwent the 18F-FDG PET-CT. Result： In the first group， there were 8 cases were negative results after undergoing the 18F-FDG PET-CT， including 1 case was positive result when undergoing the second 18F-FDG PET-CT examine， and proved to be digestive system cancer， 2 cases with positive result were diagnosed post-treatment changes. In the second group， 15 cases were positive results and 3 cases were proved to recurrent or move by operation， and the other 12 cases were given chemotherapy or radiotherapy， then 7 patients’ recurrent tumor volume reduced， and 2 cases died， 3 patients’ tumor had no change. The other 5 cases were negative results， but 2 cases changed to be positive results after the second examination and proved to be recurrent carcinoma. Conclusion： The 18F-FDG PET-CT examination is helpful to diagnose and treat the recurrent carcinoma earlier. It can reduce the pain of the patients and mortality， it is an effective method of monitoring of gynecologic carcinoma recurrence， and has important clinical significance to formulate and adjust the treatment plan in the clinic.
, 百拇医药
【Key words】 18F-FDG PET-CT； Gynecologic carcinoma； Recurrent； Value of application
妇科恶性肿瘤是一种对妇女健康危害很大的疾病，它的肿瘤类型繁多复杂，而且又因其早期临床症状不易被察觉，当患者发觉时多数已到癌症晚期，延误了病情[1-2]。另一个威胁就是肿瘤的复发，进而影响了预后治疗[3]。因此如何对妇科肿瘤做到及时准确地诊断以及及时发现复发，已经成为重点研究方向。如果可以及时发现肿瘤是否复发或者转移，就可以及时给予相应的治疗，从而可以提高患者的生存率，使预后得到明显改善。18F-FDG PET-CT这项技术是将PET技术与CT技术结合起来，从而可以达到一次显像就获得全身各方位断层图像的目的，可以更加直观准确地了解患者全身整体状况，进而及时发现病灶和判断肿瘤是否复发和转移，提高患者的生存率[4]。本文对18F-FDG PET-CT显像在妇科恶性肿瘤复发中的临床应用价值进行探讨。, http://www.100md.com(叶静等)
, 百拇医药
【关键词】 18F-FDG PET-CT显像； 妇科恶性肿瘤； 复发； 应用价值
【Abstract】 Objective： To evaluate application value of 18F-FDG PET-CT in diagnosing recurrent gynecologic carcinoma. Method： We chose 30 patients with gynecologic carcinoma after diagnosing and divided these patients into two groups. The first group contained 10 cases， they underwent the 18F-FDG PET-CT to examine the recurrent carcinoma after treatment. The second group contained 20 cases， and they were suspicious of recurrence in the clinic and they underwent the 18F-FDG PET-CT. Result： In the first group， there were 8 cases were negative results after undergoing the 18F-FDG PET-CT， including 1 case was positive result when undergoing the second 18F-FDG PET-CT examine， and proved to be digestive system cancer， 2 cases with positive result were diagnosed post-treatment changes. In the second group， 15 cases were positive results and 3 cases were proved to recurrent or move by operation， and the other 12 cases were given chemotherapy or radiotherapy， then 7 patients’ recurrent tumor volume reduced， and 2 cases died， 3 patients’ tumor had no change. The other 5 cases were negative results， but 2 cases changed to be positive results after the second examination and proved to be recurrent carcinoma. Conclusion： The 18F-FDG PET-CT examination is helpful to diagnose and treat the recurrent carcinoma earlier. It can reduce the pain of the patients and mortality， it is an effective method of monitoring of gynecologic carcinoma recurrence， and has important clinical significance to formulate and adjust the treatment plan in the clinic.
, 百拇医药
【Key words】 18F-FDG PET-CT； Gynecologic carcinoma； Recurrent； Value of application
妇科恶性肿瘤是一种对妇女健康危害很大的疾病，它的肿瘤类型繁多复杂，而且又因其早期临床症状不易被察觉，当患者发觉时多数已到癌症晚期，延误了病情[1-2]。另一个威胁就是肿瘤的复发，进而影响了预后治疗[3]。因此如何对妇科肿瘤做到及时准确地诊断以及及时发现复发，已经成为重点研究方向。如果可以及时发现肿瘤是否复发或者转移，就可以及时给予相应的治疗，从而可以提高患者的生存率，使预后得到明显改善。18F-FDG PET-CT这项技术是将PET技术与CT技术结合起来，从而可以达到一次显像就获得全身各方位断层图像的目的，可以更加直观准确地了解患者全身整体状况，进而及时发现病灶和判断肿瘤是否复发和转移，提高患者的生存率[4]。本文对18F-FDG PET-CT显像在妇科恶性肿瘤复发中的临床应用价值进行探讨。, http://www.100md.com(叶静等)