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The correlation of SUVmax with pathological characteristics of primary tumor and the value of Tumor/ Lymph node SUVmax ratio for predicting metastasis to lymph nodes in resected NSCLC patients

机译:SUVmax与原发肿瘤病理特征及肿瘤/淋巴结SUVmax比值在预测NSCLC切除患者淋巴结转移中的相关性

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Background We aimed to investigate the correlation of maximum standardized uptake value (SUVmax) with pathological characteristics of primary tumor and to determine a Tumor/ Lymph node (T/LN) SUVmax ratio predicting metastasis to lymph nodes in NSCLC patients. Methods Eighty-one NSCLC patients who had PET/CT examination at initial staging and subsequently underwent surgical resection were retrospectively evaluated. There were 100 PET/CT positive mediastinal or hilar lymph node stations. Pathological characteristics of the tumor such as largest tumor diameter, tumor histology, differentiation, number of mitosis, degree of stromal inflammation, necrosis; etiology of PET/CT positive lymph node stations; SUVmax of primary tumor and positive lymph node stations were recorded. A T/LN SUVmax ratio was calculated for each lymph node station. Results SUVmax of the primary tumor was positively correlated with the largest tumor diameter (p?=?0.001, r?=?0.374), number of mitosis (p?
机译:背景我们旨在研究最大标准化摄取值(SUVmax)与原发性肿瘤病理特征的相关性,并确定预测NSCLC患者转移至淋巴结的肿瘤/淋巴结(T / LN)SUVmax比值。方法回顾性分析81例初次行PET / CT检查并随后行手术切除的NSCLC患者。有100个PET / CT阳性纵隔或肺门淋巴结站。肿瘤的病理特征,例如最大的肿瘤直径,肿瘤组织学,分化,有丝分裂数,基质炎症程度,坏死; PET / CT阳性淋巴结站的病因;记录原发肿瘤的SUVmax和淋巴结阳性站。计算每个淋巴结站的T / LN SUVmax比。结果原发肿瘤的SUVmax与最大肿瘤直径(p?=?0.001,r?=?0.374),有丝分裂数(p?<?0.001,r?=?0.405)和术后病理分期呈正相关( p≥0.007,r≥0.298)。与腺癌相比,鳞状细胞癌患者的平均SUVmax,有丝分裂数和晚期N期在统计学上较高。 100例PET / CT阳性淋巴结站的病因为转移14例,炭疽40例,反应性39例,肉芽肿4例,矽肺3例。 T / LN SUVmax比率为5或更低提示恶性淋巴结敏感性为92.8%,特异性为47%。结论原发肿瘤的SUVmax与某些病理特征有关,如最大直径,组织学和有丝分裂数。 T / LN SUVmax比率低于5时,预示着转移至淋巴结的敏感性很高。

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