Effectiveness of PET Scan in Postoperative Long Term Follow up of Patients with Nonsmall Cell Lung Cancer
Journal Title: Journal of Clinical and Analytical Medicine - Year 2012, Vol 3, Issue 1
Abstract
Aim: There is very few data about the use of positron emission tomography [PET] in the long term follow up of patients operated for lung cancer. We aimed to evaluate the effectiveness of PET scan in detecting distant metastases in the long term follow up of asymptomatic patients operated for non-small cell lung cancer [NSCLC]. Material and Method: PET scan was performed to sixty five asymptomatic patients. The patients who had a positive PET scan for metastasis underwent MRI and/or biopsy to verify metastasis. Result: : Mean age of the patients was 58.09 ± 8.64 [44-82] years, and 57 [87.7 %] of them were male. Forty eight [73.8%] of the patients had epidermoid cell, 15 [23.1%] had adeno and 2 [%3.1] had large cell carcinoma. Postoperative stage of 1 [1.5%] patient was 1A, 14 [21.5%] of them were stage 1B, 1 [1.5%] of them was stage 2A, 27 [41.5%] of them were stage 2B and 22 [33.8%] of them were stage 3A. PET scan detected metastasis in 7 [10.8%] patients. In one patient PET scan was proven to be false positive. Sites of metastases in PET scan were lung in 3 [4.5%] patients, vertebra in 3 [4.6%] patients and tibia in 1 [1.5%] patient. In detecting distant metastases accuracy rate of PET was calculated as 98%, sensitivity was 100%, and specificity was 98%. Discussion: In asymptomatic patients with NSCLC, PET imaging appears to be useful as an alternative to conventional imaging to rule out unsuspected systemic disease in the postoperative long term follow up.
Authors and Affiliations
Muzaffer Metin, Makbule Ergin, Okan Solak, Adnan Sayar, Murat Sezer, Atilla Pekcolaklar
Keywords
Related Articles
- EP ID EP124834
- DOI 10.4328/JCAM.489
- Views 104
- Downloads 0
Our Tyroid Surgery Clinic Experience
Aim Surgical treatment of thyroid gland diseases is performed by many centers. In this study, we obtained from patients who underwent thyroid surgery results were compared with literature data. Material and Methods...
Paratestiküler Leiomyosarkom: Olgu Sunumu ve Literatürün Gözden Geçirilmesi
Spermatik kord kaynaklı leiomyosarkomlar oldukça nadir görülmektedir. Altmış beş yaşında erkek hasta 4 aydır olan ağrısız sağ inguinal kitle şikayeti ile kliniğimize başvurdu. Hastanın herhangi bir üriner sistem sempto...
Invasive Approaches to the Diagnosis of Pleural Effusion
This article reviews the surgical and other invasive procedures in the management of pleural effusions. Pleural effusion is frequent in clinical practice. Pleural procedures vary from aspiration to more challenging proce...
Value and Implantation Risk of Thin Needle Aspiration Biopsy in The Diagnostic Malign Pulmonary Lesions
Aim The aim of our study was to investigate the diagnostic value of fine needle aspiration biopsy in malignant lesions, compare the results obtained by a Chiba and an injection needle and determine whether or not maligna...
Delayed Encephalopathy Associated with Carbon Monoxide Intoxication
Acute carbon monoxide intoxication may cause coma and death. Patients usually recovier within days aſter prompt therapy. However, in a small number of patients, severe clinical deterioration may develop aſter a period with...