肿瘤研究与临床
腫瘤研究與臨床
종류연구여림상
CANCER RESEARCH AND CLINIC
2008年
9期
604-606,609
,共4页
乳腺肿瘤%体层摄影术,发射型计算机%肿瘤转移
乳腺腫瘤%體層攝影術,髮射型計算機%腫瘤轉移
유선종류%체층섭영술,발사형계산궤%종류전이
Breast neoplasms%Tomography,emission-computed%Neoplasm metastasis
目的 探讨PET-CT对诊断乳腺癌及腋窝淋巴结转移情况的临床价值.方法 选取行PET-CT检查的乳腺肿瘤患者40例,根据术后病理检查结果评价PET-CT对原发病灶定性和判断腋窝淋巴结转移情况的准确性并与腋窝淋巴结清扫情况进行比较;检验原发肿瘤病灶病理直径大小与超声、PET-CT诊断的一致性及其与标准化摄取值(SUV)值的相关性.结果 PET-CT对乳腺癌的定性诊断准确率95%、灵敏度94%、特异度100%;根据腋窝淋巴结清扫术情况,PET-CT诊断腋窝淋巴结转移准确率88.2%、灵敏度89.2%、特异度83.3%;肿瘤病灶病理直径大小与PET-CT诊断相关性最高(P<0.05),与SUV则无相关性(P>0.05).结论 PET-CT对乳腺癌及腋窝淋巴结转移的诊断与病理诊断基本相符,灵敏度、特异度较高,两者诊断原发病灶大小的一致性最佳,可为取舍腋窝淋巴结清扫术和选择合理治疗方案提供有益参考.
目的 探討PET-CT對診斷乳腺癌及腋窩淋巴結轉移情況的臨床價值.方法 選取行PET-CT檢查的乳腺腫瘤患者40例,根據術後病理檢查結果評價PET-CT對原髮病竈定性和判斷腋窩淋巴結轉移情況的準確性併與腋窩淋巴結清掃情況進行比較;檢驗原髮腫瘤病竈病理直徑大小與超聲、PET-CT診斷的一緻性及其與標準化攝取值(SUV)值的相關性.結果 PET-CT對乳腺癌的定性診斷準確率95%、靈敏度94%、特異度100%;根據腋窩淋巴結清掃術情況,PET-CT診斷腋窩淋巴結轉移準確率88.2%、靈敏度89.2%、特異度83.3%;腫瘤病竈病理直徑大小與PET-CT診斷相關性最高(P<0.05),與SUV則無相關性(P>0.05).結論 PET-CT對乳腺癌及腋窩淋巴結轉移的診斷與病理診斷基本相符,靈敏度、特異度較高,兩者診斷原髮病竈大小的一緻性最佳,可為取捨腋窩淋巴結清掃術和選擇閤理治療方案提供有益參攷.
목적 탐토PET-CT대진단유선암급액와림파결전이정황적림상개치.방법 선취행PET-CT검사적유선종류환자40례,근거술후병리검사결과평개PET-CT대원발병조정성화판단액와림파결전이정황적준학성병여액와림파결청소정황진행비교;검험원발종류병조병리직경대소여초성、PET-CT진단적일치성급기여표준화섭취치(SUV)치적상관성.결과 PET-CT대유선암적정성진단준학솔95%、령민도94%、특이도100%;근거액와림파결청소술정황,PET-CT진단액와림파결전이준학솔88.2%、령민도89.2%、특이도83.3%;종류병조병리직경대소여PET-CT진단상관성최고(P<0.05),여SUV칙무상관성(P>0.05).결론 PET-CT대유선암급액와림파결전이적진단여병리진단기본상부,령민도、특이도교고,량자진단원발병조대소적일치성최가,가위취사액와림파결청소술화선택합리치료방안제공유익삼고.
Objective To investigate the clinical significance of PET-CT to diagnose breast cancer and the axiUary lymph nodes metastasis. Methods 40 patients with breast cancer performed PET-CT were enrolled in the research. Qualitation the primary tumor and accuracy of PET-CT were evaluated on pathological results and compared with axillary lymph nodes dissection. To analyzed the concordance of the size of primary tumor on pathological result with B-mode ultrasonic and PET-CT and the correlation with the SUV. Results The accuracy, sensitivity and specificity of PET-CT in identifying breast cancer were 95%, 94%, 100%. The accuracy, sensitivity and specificity of PET-CT based on the situation of the axillary lymph node dissection were 88.2% 89.2% 83.3%. A significant association was found between tumor weiweihong and PET-CT, furthermore it had not association with SUV. Conclusion The diagnosis of PET-CT in identifying breast cancer and the axillary lymph node metastasis basically conforms to pathology. It possesses high sensitivity and specificity especially in identifying the size of the primary lesion. It offers a beneficial method to determine the axillary lymph node dissection and reasonable therapeutic regimen.
