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血清CA15-3水平及其倍增时间对18F-FDG SPECT/CT检测乳腺癌复发和转移的影响
引用本文:邢岩,赵晋华,汪太松,乔文礼,车文军. 血清CA15-3水平及其倍增时间对18F-FDG SPECT/CT检测乳腺癌复发和转移的影响[J]. 中华肿瘤防治杂志, 2010, 17(2)
作者姓名:邢岩  赵晋华  汪太松  乔文礼  车文军
作者单位:上海交通大学附属第一人民医院核医学科,上海,200080
摘    要:
目的:评价血清CA15-3水平及其倍增时间(DT)对18F-FDG SPECT/CT探测乳腺癌患者术后复发及转移的影响。方法:对43例乳腺癌术后患者进行18F-FDG SPECT/CT显像,每位患者均接受>2次的血清肿瘤标志CA15-3测定,并计算其倍增时间。结果:根据病理检查结果或>1年的临床随访,43例患者中有21例最终诊断为复发或转移。按患者例数计算,18F-FDG SPECT/CT的灵敏度、特异度、准确度、阳性预测值和阴性预测值分别为86%、64%、74%、69%和82%。18F-FDG SPECT/CT显像阳性患者的血清CA15-3水平高于18F-FDGSPECT/CT显像阴性患者,结果差异有统计学意义,P<0.05;0 d180 d及DT<0的患者18F-FDG SPECT/CT阳性率与阴性率差异无统计学意义,P>0.05。结论:对于血清CA15-3水平升高或其倍增时间较短的乳腺癌术后患者,进行18F-FDG SPECT/CT显像探测复发或转移的价值更大。

关 键 词:乳腺肿瘤  氟脱氧葡萄糖F18  体层摄影术  X线计算机  发射型计算机  单光子  CA15-3抗原  

Influence of serum CA15-3 level and doubling time on detecion of breast cancer occult recurrence and metastses by18 F-FDG SPECT/CT
XING Yan,ZHAO Jin-hua,WANG Tai-song,QIAO Wen-li,CHE Wen-jun. Influence of serum CA15-3 level and doubling time on detecion of breast cancer occult recurrence and metastses by18 F-FDG SPECT/CT[J]. Chinese Journal of Cancer Prevention and Treatment, 2010, 17(2)
Authors:XING Yan  ZHAO Jin-hua  WANG Tai-song  QIAO Wen-li  CHE Wen-jun
Affiliation:XING+Yan,ZHAO+Jin-hua,WANG+Tai-song,QIAO+Wen-li,CHE+Wen-jun+Department+of+Nuclear+Medicine,First+People%5c's+Hospital,Shanghai+Jiaotong+University,Shanghai+200080,P.R.China
Abstract:
OBJECTIVE:To evaluate the influence of serum CA15-3 level and doubling time on detection of 18F-FDG SPECT/CT for breast cancer patients with occult recurrence and metastses.METHODS:18F-FDG SPECT/CT was performed in 43 patients with suspected recurrent breast cancer,the elevated serum CA15-3 level was deteeted for more than 2 times,and the doubling time was accounted.RESULTS:Among the 43 patients,the final diagnosis of recurrence or metastses was established in 21 patients according to more than 1 year follo...
Keywords:breast neoplasms  fluorodeoxyglucose F18  tomography  X-ray computed  tomograpy  emission-computed  single-photon  CA15-3 antigen  
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