论文部分内容阅读
目的评价PET/CT在年轻肿瘤患者中的应用价值。方法回顾性分析我院行躯干PET/CT检查且年龄≤25岁的病例,共75例(男性35例,女性40例)89次检查。结果所患肿瘤前三位依次为淋巴瘤(31%)、卵巢肿瘤(16%)和神经内分泌肿瘤(8%)。PET/CT用于协助诊断(42%)、分期(11%)、疗效评估(27%)和复发监测(30%)。PET/CT对63%(22/35)的淋巴瘤诊断、分期、治疗评估和复发监测有重要意义,改变了58%(7/12)的卵巢肿瘤患者的诊疗决策,对40%的其他肿瘤患者有帮助。对年轻患者的图像分析须注意胸腺、卵巢和子宫内膜等生理性摄取。结论 PET/CT对于指导儿童和青少年肿瘤诊疗具有较大价值,可在权衡辐照危害后合理选用。
Objective To evaluate the value of PET / CT in young patients with cancer. Methods A total of 75 cases (35 males and 40 females) undergoing PET / CT examination in our hospital were retrospectively analyzed 89 times. Results The top three tumors were lymphomas (31%), ovarian tumors (16%) and neuroendocrine tumors (8%). PET / CT was used to assist in diagnosis (42%), stage (11%), efficacy evaluation (27%) and relapse monitoring (30%). PET / CT was of great importance to the diagnosis, staging, treatment evaluation and recurrence monitoring of 63% (22/35) lymphoma patients, which changed the diagnosis and treatment decision in 58% (7/12) of ovarian cancer patients and in 40% of other tumors Patient helpful. Image analysis of young patients should pay attention to the physiological intake of thymus, ovary and endometrium. Conclusion PET / CT has great value in guiding the diagnosis and treatment of tumors in children and adolescents, and can be rationally selected after weighing the harmful effects of radiation.