1. [Role of PET/CT in primitive non-small cell bronchopulmonary cancer].
- Author
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Soumia F, Leila A, Mohamed R, Laila H, and Mustapha E
- Subjects
- Aged, Aged, 80 and over, Bronchial Neoplasms pathology, Carcinoma, Non-Small-Cell Lung pathology, Female, Fluorodeoxyglucose F18, Humans, Lung Neoplasms pathology, Male, Middle Aged, Morocco, Neoplasm Metastasis, Neoplasm Staging, Retrospective Studies, Bronchial Neoplasms diagnosis, Carcinoma, Non-Small-Cell Lung diagnosis, Lung Neoplasms diagnosis, Positron Emission Tomography Computed Tomography methods
- Abstract
Bronchopulmonary cancer is a real public health problem. Morphological imaging plays a central role in its diagnosis, staging as well as post-therapeutic assessment but it has some limitations. Metabolic imaging is a more recent technique which allows to significantly improve the overall imagery performance. We conducted a retrospective, descriptive and analytical study at the Ibn Sina Hospital and at the Military Hospital of instruction Mohammed V in Rabat over a period of 18 months, between September 2014 and February 2016, in order to evaluate the role of Fluorodeoxyglucose-PET/CT in the staging and restaging of non-small cell bronchopulmonary cancer. Initial staging showed a vast majority of locally advanced and metastatic stages: stage IV (40%), Stage IIIB (36%), Stage IIIA (16%), Stage II (8%). PET-CT allowed to detect new sites which were not initially seen on CT scan in 24 cases: 15 new ganglion sites, 8 new adrenal sites and 6 sites of bone lesions. PET/CT allowed to modify initial tumor stage in 60% of cases: upstaging in 23 patients (46%) and downstaging in 7 patients(14%). The initial stage remained unchanged in 40% of patients. Our study confirms the data from the literature concerning the superiority of PET-CT in comparison with CT scan, but only in the optimization of the non-small cell bronchopulmonary cancer management, in particular in locoregional and distant staging.
- Published
- 2017
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