论文部分内容阅读
目的探讨PET/CT在胰腺癌术前评估和术后随访中的价值。方法胰腺癌患者64例,手术前行CT和/或MRI及PET/CT评估。综合各项检查结果,36例患者接受手术治疗。比较肿瘤的病理类型与PET/CT检查结果。对25例手术患者术后6-8个月进行PET/CT随访。结果64例胰腺癌患者中,PET/CT检查62例阳性,其中3例CT和/或MRI考虑有手术切除可能的胰头癌病例,PET/CT检查胸腰椎和肋骨有转移而放弃手术。随访25例肿瘤切除患者,术后6-8个月CT检查显示肿块局部复发16例,肝脏转移8例。术后6-8个月PET/CT检查显示,肿块局部复发17例,肝脏转移8例,伴椎体、肋骨转移5例,胸椎转移1例,左侧锁骨转移1例。结论 PET/CT在胰腺癌术前评估和术后随访中有重要的诊断价值。
Objective To investigate the value of PET/CT in preoperative assessment and postoperative follow-up of pancreatic cancer. Methods Sixty-four patients with pancreatic cancer were evaluated by CT and/or MRI and PET/CT before surgery. Based on the results of the tests, 36 patients were treated with surgery. Compare the pathological type of the tumor with the PET/CT test results. Twenty-five patients underwent PET/CT follow-up 6-8 months after surgery. RESULTS: Of the 64 pancreatic cancer patients, 62 were positive by PET/CT. Among them, 3 cases of CT and/or MRI were considered to have a possible pancreatic head cancer. PET/CT was performed to examine the thoracolumbar spine and ribs and to abandon surgery. Twenty-five patients undergoing tumor resection were followed up. The CT examination at 6-8 months postoperatively revealed local recurrence of 16 tumors and 8 liver metastases. After 6-8 months of PET/CT examination, there were 17 cases of local recurrence of tumor, 8 cases of liver metastases, 5 cases of vertebral body and ribs metastasis, 1 case of thoracic vertebral metastasis, and 1 case of left clavicle metastasis. Conclusion PET/CT has important diagnostic value in preoperative evaluation and postoperative follow-up of pancreatic cancer.