https://scholars.lib.ntu.edu.tw/handle/123456789/161638
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor | 臺大醫院;臺大醫院-外科部;臺大醫院-核子醫學部;臺大醫院-腫瘤醫學部;臺大醫學院; | - |
dc.contributor.author | Liu, Chia-Ju | en |
dc.contributor.author | Cheng, Jason Chia-Hsien | en |
dc.contributor.author | Lee, Jang-Ming | en |
dc.contributor.author | Cheng, Mei-Fang | en |
dc.contributor.author | Tzen, Kai-Yuan | en |
dc.contributor.author | Yen, Ruoh-Fang | en |
dc.contributor.author | 成佳憲 | zh-tw |
dc.creator | Liu, Chia-Ju;Cheng, Jason Chia-Hsien;Lee, Jang-Ming;Cheng, Mei-Fang;Tzen, Kai-Yuan;Yen, Ruoh-Fang | en |
dc.creator | 曾凱元;成佳憲;顏若芳;李章銘;鄭媚方 | zh-tw |
dc.date | 2015 | - |
dc.date.accessioned | 2017-12-21T03:02:14Z | - |
dc.date.accessioned | 2018-07-09T02:50:11Z | - |
dc.date.available | 2017-12-21T03:02:14Z | - |
dc.date.available | 2018-07-09T02:50:11Z | - |
dc.date.issued | 2015 | - |
dc.identifier.uri | http://ntur.lib.ntu.edu.tw//handle/246246/283990 | - |
dc.description.abstract | Background and Purposes: The aim of the study was to examine the patterns of lymph node metastases from esophageal squamous cell carcinoma (ESCC) and compare the laterality of lymphatic metastasis in cervical, supraclavicular, and paratracheal areas using F-18-FDG PET/CT. ;Patients and Methods: The data of 75 patients who underwent 18F-FDG PET/CT for staging of ESCC between January 2011 and March 2012 were reviewed. Fourteen groups of lymph nodes from the neck to abdomen were defined. Lateralization of the upper thoracic lymph nodes was defined in reference to the midline of the trachea. Frequencies of positive lymph nodes were used to determine the pattern of lymphatic spread and compare the lateralization of metastases in the cervical and upper thoracic regions. ;Results: The right paratracheal region was the most frequent site of metastasis among all patients. Left paratracheal and paragastric nodes were more frequent in upper and lower third ESCC, respectively. Upward and downward lymphatic spread was equal in mid third ESCC. In all patients, there was a trend toward more frequent lymph node metastasis on the right side than the left side for the supraclavicular and paratracheal regions. Further stratified analysis with tumor location found that right paratracheal node metastasis was significantly associated with mid third ESCC (P = 0.03). Remote nodal metastasis was found in 10.5% of patients with upper third ESCC and 13% of patients with lower third ESCC, respectively. Remote nodal metastasis was associated with higher SUV of the primary tumor (P = 0.02) and worse survival (P = 0.03). Receiver operating characteristic analysis showed a cutoff SUV of 14.8 for predicting remote lymph node metastases. ;Conclusions: PET/CT provides important information before radiotherapy planning. Mid and lower third ESCC tends to metastasize to the right paratracheal/supraclavicular lymph nodes. Remote nodal metastases on PET/CT correlated with higher primary tumor SUV and worse survival. | - |
dc.language | en-us | - |
dc.relation | Clin. Nucl. Med., 40(5), 384-389 | - |
dc.relation.ispartof | Clin. Nucl. Med. | - |
dc.subject | esophageal cancer | - |
dc.subject | FDG | - |
dc.subject | PET/CT | - |
dc.subject | lymph node metastasis | - |
dc.subject | lymph node mapping | - |
dc.subject.classification | [SDGs]SDG3 | - |
dc.title | Patterns of Nodal Metastases on F-18-FDG PET/CT in Patients With Esophageal Squamous Cell Carcinoma are Useful to Guide Treatment Planning of Radiotherapy | - |
dc.relation.pages | 384-389 | - |
dc.relation.journalvolume | 40 | - |
dc.relation.journalissue | 5 | - |
item.fulltext | no fulltext | - |
item.grantfulltext | none | - |
顯示於: | 腫瘤醫學研究所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。