대한핵의학회지 (1967년~2009년)
Nucl Med Mol Imaging 2009;43(6)557~564
원발성 대장-결장암 환자의 치료 전 PET/CT 스캔에서 FDG 섭취 정도와 병리학적 및 면역조직화학적 지표들과의 비교
(Comparison between FDG Uptake and Pathologic or Immunohistochemical Parametersin Pre-operative PET/CT Scan of Patient with Primary Colorectal Cancer)
Author 나세정1, 정용안1, 맹이소2, 김기준1, 손경명1, 김성훈1, 손형선1, 정수교1,
Sae-Jung Na, M.D.1, Yong-An Chung, M.D.1, Lee-So Maeng, M.D.2, Ki-Jun Kim, M.D.1, Kyung-Myung Sohn, M.D.1, Sung-Hoon Kim, M.D.1, Hyung-Sun Sohn, M.D.1, and Soo-Kyo Chung, M.D.1
Affiliation 가톨릭대학교 의과대학 방사선과학교실1, 병원병리학교실2
Departmentsof 1Radiology and 2Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract

Purpose: To evaluate the relationship between F-18 FDG uptake of tumor in PET/CT scan and pathological or immunohistochemial parameters of colorectal cancer. Materials and Methods: 147 colorectal cancer patients who underwent both pre-operative F-18 FDG PET/CT scan and surgery were included. In cases with perceptible FDG uptake in primary tumor, the maximum standardized uptake value (SUVmax) was calculated. The pathologic results such as site, size, depth of invasion (T stage), growth pattern, differentiation of primary tumor, lymph node metastasis and Dukes-Astler & Coller stage and immunohistochemical markers such as expression of EGFR, MLH1, MSH2 and Ki-67 index were reviewed. Results: 146 out of 147 PET/CT scans with colorectal cancer showed perceptible focal FDG uptake. SUVmax showed mild positive linear correlation with size of primary tumor (r=0.277, p=0.001) and Ki-67 index (r=0.226, p=0.019). No significant difference in F-18 FDG uptake was found according to site, depth of invasion (T stage), growth pattern, differentiation of primary tumor, presence of lymph node metastasis, Dukes-Astler & Coller stage and expression of EGFR. Conclusion: The degree of F-18 FDG uptake in colorectal cancer was associated with the size and the degree of Ki-67 index of primary tumor. It could be thought that FDG uptake of primary tumor has a correlation with macroscopic and microscopic tumor growth.

Keyword Colorectal cancer, F-18 FDG, PET/CT
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