PET-CT对卵巢癌复发及转移的监测价值.pdfVIP

中国现代医生 2014 年 11 月第 52 卷第 33 期 ·临床探讨­ PET-CT 对卵巢癌复发及转移的监测价值 陈忠 施冬辉 蒋小冬 夏淦林A 施春明 江苏省南通市肿瘤医院PET/CT 中心，江苏南通 226创)() [摘要]目的探讨 PET-CT 监测卵巢癌复发及转移的临床价值。方法选择 26 倒卵巢癌患者的临床资料进行回 顾性分析，患者术后行 PET-CT 全身及盆腔显像，并与同期 ECT、B 超结果进行比较，分析 PET-CT 监测卵巢癌复 发及转移的临床价值。结果 15 例患者 PET-CT 结果为阳性，其中 14 例 CA-125 升高，1 例正常。共发现 53 处病 灶，分别位于盆腔、手术切口、腹腔、肠系膜、腹膜、椎体。 PET-CT 结果显示 FDG 高摄取，存在异常高代谢。 PET­ CT 病灶数检出率显著高于 B 超和 ECT 检测结果(PO.Ol )。结论 PET-CT 在肿瘤的卵巢癌的复发和转移监测 方面具有明显的优势，其对病灶的检出率显著高于 B 超与 ECT o [关键词]卵巢癌;复发;转移 ;PET-CT [中固分类号] R737.31 [文献标识码] B [文章编号] 1673-9701(2014)33-0131~03 Clinical significance of PET-CT monitoring of ovarian cancer recurrence and metastasis CHEN 品ong SHl Donghui JlANG Xiωdong XlA Gan1in SHl Chunming PET/CT Center, Nantong City Tumor Hospital in Jiangsu Province , Nantong 226α泪， China [Abstract] Objective To discuss clinical significance of PET-CT monitoring of ovarian cancer recuπence and metas- tasis. Metbods Clinical data of 26 cases wi由 ovarian cancer recurrence and metastasis were retrospectively analyzed. All patients were detected by PET -CT after operation, and PET -CT results were compared with results of ECT and type B Ultrasound. Clinical significance of PET-CT monitoring of ovarian cancer 陀cuπence and metastasis was ana- lyzed. 酬曲 PET-CT results of 15 cases were positive , and among them 14 cases of CA-125 increased, one c部e was normal. LesÎons were found. in 绍， which were located in the pelvis , surgical incision, the abdominal cav坷， mesent町， peritoneum, vertebral. PET-CT results showed high FDG uptake , the presence of abnormally high metabolism. Lesions detection rate of PET-CT was higher