2019年2月1日
Positron emission tomography/computed tomography as a clinical diagnostic tool for anterior mediastinal tumors
Surgery Today
- 巻
- 49
- 号
- 2
- 開始ページ
- 143
- 終了ページ
- 149
- 記述言語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1007/s00595-018-1712-1
© 2018, Springer Nature Singapore Pte Ltd. Purpose: The purpose of this study was to assess the usefulness of positron emission tomography/computed tomography (PET/CT) in the differential diagnosis of anterior mediastinal tumors. Methods: A total of 94 patients with anterior mediastinal masses or nodules (male, n = 41; female, n = 53; age, 17–84 years) were retrospectively evaluated. All patients were evaluated by PET/CT and the masses or nodules were histologically diagnosed in our institution. Results: Anterior mediastinal masses and nodules were classified into two disease categories: Low (thymic hyperplasia, thymoma, mature teratoma, and MALT lymphoma) and High (thymic carcinoid, thymic cancer, diffuse large B-cell lymphoma, T-cell lymphoblastic lymphoma, Hodgkin’s lymphoma, and malignant germ cell tumors) groups. The sensitivity and specificity of maximum standardized uptake value (SUV max ) 7.5 for the detection of High group were 77% and 100%, respectively. The SUV max distributions of the WHO histological thymoma types and Masaoka stage thymomas extensively overlapped. Masaoka stage III thymomas had significantly higher SUV max than Masaoka stage I thymomas. Regarding the TNM classification, the SUV max of T3 and T1b thymomas was higher than T1a thymoma. Conclusion: Although the SUVmax of each disease overlapped, PET/CT findings provided useful information for the differential diagnosis of anterior mediastinal masses.
- リンク情報
- ID情報
-
- DOI : 10.1007/s00595-018-1712-1
- ISSN : 0941-1291
- eISSN : 1436-2813
- PubMed ID : 30198048
- SCOPUS ID : 85053466204