분화성 갑상선암에서 FDG 섭취 정도와 병리학적 지표들과의 비교 (Comparison of FDG Uptake with Pathological Parameters in the Well-differentiated Thyroid Cancer) |
Author |
최우희, 정용안, 김기준, 박창숙, 정현석, 손형선, 정수교, 유창영, |
Woo-Hee Choi, Yong-An Chung, Ki-Jun Kim, Chang-Suk Park, Hyun-Suk Jung, Hyung-Sun Sohn, Soo-Kyo Chung, Chang-Young Yoo |
Affiliation |
가톨릭대학교 의과대학 방사선과학교실1, 병원병리학교실2, 가톨릭대학교 인천성모병원 동서중개의학연구소3 1Department of Radiology, and 2Hospital pathology, College of Medicine, The Catholic University of Korea, Seoul, South Korea; 3East-West Research Institute of Translational Medicine (EWTM), Incheon St. Mary\'s Hospital, Incheon, South Korea |
Abstract |
Purpose: Differentiated thyroid cancer (DTC) has
variable degree of F-18 FDG avidity. The purpose of
this study was to evaluate the relationship between F-
18 FDG uptake and pathological or immunohistochemical
features of DTC. Materials and Methods: DTC patients
who underwent both pre-operative F-18 FDG PET/CT scan
and surgery were included in the study. Maximum
standardized uptake values (SUVmax) of primary tumor
were calculated. If the primary tumor showed no
perceptibly increased F-18 FDG uptake, region of
interest was drawn based on finding of CT portion of
the PET/CT images. Pathological and immunohistochemical
markers such as presence of lymph node (LN) metastasis
and underlying thyroiditis, tumor size, Ki-67 labeling
index, expressions of EGFR, COX-2, and Galectin-3 were
evaluated. Results: Total of 106 patients was included
(102 papillary carcinomas, 4 follicular carcinomas).
The mean SUVmax of the large tumors (above 1 cm) was
significantly higher than the mean SUVmax of small
(equal to or less than 1 cm) ones (7.8¡¾8.5 vs.
3.6¡¾3.1, p=0.004). No significant difference in F-18
FDG uptake was found according to the presence or
absence of LN metastasis and underlying thyroiditis, or
the degree of Ki-67 labeling index, expression of EGFR,
COX-2 and Galectin-3. Conclusion: In conclusion, the
degree of F-18 FDG uptake in DTC was associated with
the size of primary tumor. But there seem to be no
relationship between F-18 FDG uptake of DTC and
expression of Ki-67, EGFR, COX-2 and Galectin-3. (Nucl
Med Mol Imaging 2009;43(1):40-47) |
Keyword |
Thyroid cancer, F-18 FDG, PET/CT |
Full text Article |
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