1. Focal 18 F-FDG uptake predicts progression of pre-invasive squamous bronchial lesions to invasive cancers.
- Author
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Smesseim I, van Boerdonk RA, Dickhoff C, Heineman DJ, Dahele MR, Radonic T, Bahce I, Rauh SP, Comans EFI, and Daniels HJMA
- Subjects
- Humans, Fluorodeoxyglucose F18, Retrospective Studies, Positron-Emission Tomography, Lung Neoplasms diagnostic imaging, Lung Neoplasms pathology, Carcinoma, Squamous Cell diagnostic imaging, Carcinoma, Squamous Cell pathology
- Abstract
Introduction: Pre-invasive squamous lesions of the central airways can progress into invasive lung cancers. Identifying these high-risk patients could enable detection of invasive lung cancers at an early stage. In this study, we investigated the value of
18 F-fluorodeoxyglucose (18 F-FDG) positron emission tomography (PET) scans in predicting progression in patients with pre-invasive squamous endobronchial lesions., Methods: In this retrospective study, patients with pre-invasive endobronchial lesions, who underwent an18 F-FDG PET scan at the VU University Medical Center Amsterdam, between January 2000 and December 2016, were included. Autofluorescence bronchoscopy (AFB) was used for tissue sampling and was repeated every 3 months. The minimum and median follow-up was 3 and 46.5 months. Study endpoints were the occurrence of biopsy proven invasive carcinoma, time-to-progression and overall survival (OS)., Results: A total number of 40 of 225 patients met the inclusion criteria of which 17 (42.5%) patients had a positive baseline18 F-FDG PET scan. A total of 13 of 17 (76.5%) developed invasive lung carcinoma during follow-up, with a median time to progression of 5.0 months (range, 3.0-25.0). In 23 (57.5%) patients with a negative18 F-FDG PET scan at baseline, 6 (26%) developed lung cancer, with a median time to progression of 34.0 months (range, 14.0-42.0 months, p < 0.002). With a median OS of 56.0 months (range, 9.0-60.0 months) versus 49.0 months (range, 6.0-60.0 months) (p = 0.876) for the18 F-FDG PET positive and negative groups, respectively., Conclusions: Patients with pre-invasive endobronchial squamous lesions and a positive baseline18 F-FDG PET scan were at high-risk for developing lung carcinoma, highlighting that this patient group requires early radical treatment., (© 2023 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.)- Published
- 2023
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