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PET/CT在诊断胃肠道恶性肿瘤复发转移中的临床应用
引用本文:韩建军,胡三元,李增军,孙燕来,徐忠法. PET/CT在诊断胃肠道恶性肿瘤复发转移中的临床应用[J]. 中国现代普通外科进展, 2010, 13(2): 118-120. DOI: 10.3969/j.issn.1009-9905.2010.02.011
作者姓名:韩建军  胡三元  李增军  孙燕来  徐忠法
作者单位:1. 山东大学齐鲁医院,普通外科,山东,济南,250012
2. 山东省肿瘤医院,普通外科,山东,济南,250117
摘    要:目的:探讨18F-FDGPET/CT检查在诊断胃肠道恶性肿瘤复发和转移中的临床应用价值。方法:68例胃肠道恶性肿瘤患者术后均进行18F-FDGPET/CT显像,并检测血清CEA、CA19-9。结果:68例患者中37例最终确诊复发或转移,PET/CT最终诊断灵敏度为97.3%,特异性为96.8%。血清标志物CEA、CA19-9诊断胃肠道肿瘤复发转移的敏感性62.2%,特异性87.1%。PET/CT和血清肿瘤标志物联合检测,诊断的敏感性和特异性分别为100%和97.8%,约登指数97.8%。结论:PET/CT诊断胃肠道恶性肿瘤术后患者复发转移的敏感性和特异性较肿瘤标志物高;PET/CT联合患者血清CEA、CA19-9检测是诊断断胃肠道恶性肿瘤术后复发转移的较理想方法。

关 键 词:胃肠肿瘤  PET/CT  癌胚抗原  CA-19-9抗原  肿瘤转移  肿瘤复发

Clinical value of 18F-FDG PET/CT in postoperative diagnosis of gastrointestinal malignant tumor
BAN Jian-jun,HU San-yuan,LI Zeng-jun,SUN Yan-lai,XU Zhong-fa. Clinical value of 18F-FDG PET/CT in postoperative diagnosis of gastrointestinal malignant tumor[J]. Chinese Journal of Current Advances in General Surgery, 2010, 13(2): 118-120. DOI: 10.3969/j.issn.1009-9905.2010.02.011
Authors:BAN Jian-jun  HU San-yuan  LI Zeng-jun  SUN Yan-lai  XU Zhong-fa
Affiliation:Jinan 250012/a>;China;Jinan 250117/a>;China
Abstract:Objective: To evaluate the clinical value of 18F-FDG PET/CT in diagnosing the recurrence or metastasis of the postoperative patients with gastrointestinal malignant tumor. Methods: Sixty-eight postoperative patients with gastrointestinal malignant tumor were studied with 18F-FDG PET/CT, and serum CEA and CA19-9 were assayed. Results: Thirty-seven patients were found to be recurrent or metastatic. The sensitivity and specificity of PET/CT detection were 97.3% and 96.8%,and the positive rates of PET/CT combin...
Keywords:PET/CT
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