丁重阳,李天女.原发性腹膜后肿瘤的[J].中国医学影像技术,2014,30(7):1045~1049
原发性腹膜后肿瘤的
18F-FDG PET/CT manifestations of primary retroperitoneal tumors
投稿时间:2014-03-19  修订日期:2014-06-05
DOI:
中文关键词:  腹膜后肿瘤  正电子发射型体层摄影术  18F氟脱氧葡萄糖
英文关键词:Retroperitoneal neoplasms  Positron-emission tomography  Fluorodeoxyglucose F18
基金项目:南京市科技计划项目(201303038)。
作者单位E-mail
丁重阳 南京医科大学第一附属医院核医学科, 江苏 南京 210029  
李天女 南京医科大学第一附属医院核医学科, 江苏 南京 210029 litiannv@126.com 
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中文摘要:
      目的 观察原发性腹膜后肿瘤的18F-FDG PET/CT显像特征。方法 回顾性分析32例经病理证实的原发性腹膜后肿瘤18F-FDG PET/CT显像资料。观察不同病理类型肿瘤的18F-FDG PET/CT显像特征,测量肿瘤最大径及最大标准摄取值(SUVmax),比较良、恶性肿瘤最大径及SUVmax差异。结果 恶性肿瘤18例,17例形态不规则,14例边界不清,11例18F-FDG 摄取不均匀,2例可见远处转移;良性肿瘤14例,13例呈圆形或椭圆形,边界均清晰,11例18F-FDG摄取均匀,1例神经鞘瘤及1例畸胎瘤18F-FDG无摄取。恶性肿瘤SUVmax(11.93±7.01)明显高于良性肿瘤(3.66±2.20),差异有统计学意义(Z=-4.103,P<0.001);恶性肿瘤与良性肿瘤最大径的差异亦有统计学意义(Z=-3.287,P=0.001)。结论 原发性腹膜后肿瘤的18F-FDG PET/CT表现具有一定特征,有助于临床诊断。
英文摘要:
      Objective To observe the manifestations of primary retroperitoneal tumors on 18F-FDG PET/CT. Methods The data of 18F-FDG PET/CT scanning of 32 patients with primary retroperitoneal tumors confirmed by pathology were retrospectively analyzed. The manifestations on 18F-FDG PET/CT were observed, and the maximum diameter and SUVmax of tumors were measured. The maximum diameter and SUVmax of tumors between benign and malignant tumors were compared. Results Among 18 cases of malignant primary retroperitoneal tumors, appeared as irregular sharp in 17 cases, obscure boundary in 14 cases, and heterogeneous uptake of 18F-FDG in 11 cases, and 2 cases with distant metastasis. Among 14 cases of benign primary retroperitoneal tumors, appeared as round or ellipse in 13 cases,clear boundary in all cases, and homogeneity uptake of 18F-FDG in 11 cases. 1 case of schwannoma and 1 case of teratoma had no uptake of 18F-FDG. The SUVmax of malignant tumors (11.93±7.01) were higher than that of benign tumors (3.66±2.20) with statistical significance (Z=-4.103, P<0.001). And the difference of tumor maximum diameter between benign and malignant tumors was also statistically significative (Z=-3.287, P=0.001). Conclusion The 18F-FDG PET/CT manifestation of primary retroperitoneal tumors has certain characteristics which is helpful for clinical diagnosis.
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