| PET-CT在乳腺癌术前诊断与分期中的临床应用 |
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| 引用本文： | 汪世存,方雷,潘博,展凤麟,谢强,谢吉奎.PET-CT在乳腺癌术前诊断与分期中的临床应用[J].安徽医药,2011,15(3):342-345. |
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| 作者姓名： | 汪世存 方雷 潘博 展凤麟 谢强 谢吉奎 |
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| 作者单位： | 安徽医科大学附属省立医院PET-CT中心,安徽,合肥,230001;安徽医科大学附属省立医院PET-CT中心,安徽,合肥,230001;安徽医科大学附属省立医院PET-CT中心,安徽,合肥,230001;安徽医科大学附属省立医院PET-CT中心,安徽,合肥,230001;安徽医科大学附属省立医院PET-CT中心,安徽,合肥,230001;安徽医科大学附属省立医院PET-CT中心,安徽,合肥,230001 |
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| 摘 要： | 目的探讨PET-CT在乳腺癌术前诊断与分期中的临床价值。方法对该院临床表现和体格检查提示为乳腺癌的56例患者行PET-CT检查,检查范围包括乳腺癌原发病灶、区域淋巴结及全身脏器;完成常规扫描后,再应用特殊的乳腺扫描方式对乳腺部位重复扫描,然后进行PET图像投射采集及CT薄层扫描,分析两次PET-CT检查图像结果,并与手术后/或者穿刺病理结果进行对比分析。结果 56例乳腺癌患者中PET-CT诊断为Ⅰ期4例,Ⅱ期31例,Ⅲ期6例,Ⅳ期15例;Ⅰ～Ⅱ期35例中,PET-CT提示腋下淋巴结转移34例,同侧乳内淋巴结转移4例,锁骨上淋巴结转移1例;Ⅲ～Ⅳ期21例中,肺转移8例,肝转移8例,骨转移11例(成骨型5例、混合型6例),脑转移1例。手术后/或者穿刺病理提示:原位癌2例,微小浸润型导管癌21例,浸润型导管癌33例;腋下淋巴结转移31例(31/34),诊断准确率91.2%。结论 PET-CT检查对乳腺癌诊断具有较高敏感性与特异性,特别是在区域淋巴结转移与远处转移灶诊断方面具有更大优势,对治疗方式的选择有良好指导作用。
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| 关 键 词： | 乳腺癌 PET-CT 诊断 |
The clinical application of PET-CT in preoperative diagnosing and staging for breast cancer |
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| WANG Shi-cun,FANG Lei,PAN Bo,ZHAN Feng-lin,XIE Qiang,XIE Ji-kui.The clinical application of PET-CT in preoperative diagnosing and staging for breast cancer[J].Anhui Medical and Pharmaceutical Journal,2011,15(3):342-345. |
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| Authors: | WANG Shi-cun FANG Lei PAN Bo ZHAN Feng-lin XIE Qiang XIE Ji-kui |
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| Affiliation: | WANG Shi-cun,FANG Lei,PAN Bo,ZHAN Feng-lin,XIE Qiang,XIE Ji-kui(Anhui Provincial Hospital Affiliated to Anhui Medical University,Hefei,Anhui 230001,China) |
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| Abstract: | Aim To evaluate the clinical application of PET-CT in preoperative diagnosing and staging for breast cancer.Methods The 56 patients who were presumed by clinical manifestation and physical examination as breast cancer in our hospital underwent PET-CT examination which included primary breast lesion,area lymphaden and other organs of the whole body.After complete routine scanning,we should rescan breast by particular scanning mode and carry out PET projection collection and CT thin slice scanning.Then,both t... |
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| Keywords: | PET-CT |
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