Prognostic value of 18F-FDG PET/CT for identifying high- and low-risk endometrial cancer patients


Özgü E., Öz M., Yildiz Y., Özgü B. S., ERKAYA S., Güngör T.

Ginekologia Polska, cilt.87, sa.7, ss.493-497, 2016 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 87 Sayı: 7
  • Basım Tarihi: 2016
  • Doi Numarası: 10.5603/gp.2016.0032
  • Dergi Adı: Ginekologia Polska
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.493-497
  • Anahtar Kelimeler: PET/CT, endometrial cancer, prognosis, SUVmax
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Objectives: To assess the usefulness of adding PET/CT as a preoperative test for determining the extent of endometrial cancer and discriminating low- and high-risk patients to identify candidates for surgical staging. Material and methods: We retrospectively reviewed 86 patients with pathologically proven endometrial cancer who had undergone preoperative 18F-FDG PET/CT. The prognostic relationships between PET/CT parameters and pathology reports were assessed. Results: The SUVmax was significantly higher in patients with FIGO stage IB or higher compared with those with stage IA; for stage III-IV compared with stage I-II; and for patients with lymph node metastasis compared with those without lymph node metastasis. Using 6.70 as a cut-off for SUVmax, low-risk patients can be identified with a sensitivity of 92.9%. Conclusions: PET/CT imaging can be used not only for determining malignancy and lymph node involvement but also for determining candidates for surgical staging with high sensitivity.