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大韓口腔顎顔面外科學會誌 = Journal of the Korean Association of Oral and Maxillofacial Surgeons v.33 no.6, 2007년, pp.597 - 600  
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구강암 환자에서 경부 임파절 평가에 대한 $^{18}F$-FDG PET(Fluorine 18-Labelled Deoxyglucose Positron Emission Tomography)의 유용성
DIAGNOSTIC ACCURACY OF $^{18}F$-FDG IN NODAL NEGATIVE ORAL SQUAMOUS CELL CARCINOMA

최은주   (연세대학교 치과대학 구강악안면외과학교실UU0000936  ); 강상훈   (연세대학교 치과대학 구강악안면외과학교실UU0000936  ); 김기호   (연세대학교 치과대학 구강악안면외과학교실UU0000936  ); 남웅   (연세대학교 치과대학 구강악안면외과학교실UU0000936  ); 김형준   (연세대학교 치과대학 구강악안면외과학교실UU0000936  ); 차인호   (연세대학교 치과대학 구강악안면외과학교실UU0000936  );
  • 초록

    PET is one of the most widely used verification methods for evaluation of metastasis on the lymph nodes of the neck in oral cancer patients. The purpose of this study was to assess the correlation between PET findings and histopathologic findings in patients who had been diagnosed as squamous cell carcinoma and performed neck dissection. Thirty-four necks in 25 patients had been evaluated on pathologic lymph nodes and the data were compared with preoperative PET scan. The sensitivity of PET at the level of the neck was 72.7%, specificity was 60%, and accuracy was 79.2%. Since FDG-PET show high false-positive results, it should be used with other diagnostic tools for evaluation of lymph node metastasis.


  • 주제어

    PET .   Neck metastasis .   Oral squamous cell carcinoma.  

  • 참고문헌 (16)

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    2. Byers RM, El-Naggar AL, Lee YY, Rao B, Fornage B, Terry NH, Sample D, Hankins P, Smith TL, Wolf PJ: Can we detect or predict the presence of occult nodal metastases in patients with squamous carcinoma of the oral tongue? Head Neck. 1998;20(2):138-44 
    3. Adams S, Baum RP, Stuckensen T, Bitter K, Hor G: Prospective comparison of 18F-FDG PET with conventional imaging modalities (CT, MRI, US) in lymph node staging of head and neck cancer. Eur J Nucl Med 1998;25(9):1255-60 
    4. Hannah A et al.: Evaluation of 18F-FDG Fluorodeoxyglucose positron emission tomography and computed tomography with histopathologic correlation in the initial staging of head and neck cancer. Ann Surg 2002;236:208-217 
    5. Frederick L. Greene, Carolyn C. Compton, April G. Fritz, Jatin Shah, David P Winchester, American Joint Committee on Cancer Staging Atlas 1 ed., Chicago : Springer, 2006 
    6. Van den Brekel MW, van der Waal I, Meyer CJ, Freeman JL, Castelijns JA, Snow GB. The incidence of micrometastases in neck dissection specimens obtained from elective neck dissections. Laryngoscope 1996;106:987-991 
    7. Wouter V. Vogel. Optimised PET reconstruction of the head and neck area: improved diagnostic accuracy. Eur J Nucl Med Mol Imaging 2005;32;1276-1282 
    8. Fujimoto R, Higashi T, Nakamoto Y, Hara Tm Lyshchik A, Ishizu K, Kawashima H, Kawase Sm Fujita T, Saga T, Togashi K: Diagnostic accuracy of bone metastases detection in cancer patients: comparison between bone scintigraphy and whole-body FDG-PET Ann Nucl Med 2006;20(6):399-408 
    9. Bart M. Bart Mn. Wensing, Wouter V. Vogel, Henri A.M. Marres, Matthias A.W. Merkx, Ernst J. Pstema Wim J. G. Oyen, Frank J. A. van den Hoogen. FDG-PET in the clinically negative neck in oral squamous cell carcinoma. Laryngoscope 2006;116:809-813 
    10. NC Hyde E, Prvulovich L, Newman WA, Waddington D, Visvikis and P. Ell. A new approach to pre-treatment assessment of the N0 neck in oral squamous cell carcinoma : the role of sentinel node biopsy and positron emission tomography. Oral oncology 2003;39:350-360 
    11. Di Martino E, Nowak B, Hassan HA, Hausmann R, Adam G, Buell U, Westhofen M: Diagnosis and staging of head and neck cancer: a comparison of modern imaging modalities (positron emission tomography, computed tomography, color-coded duplex sonography) with panendoscopic and histopathologic findings. Arch Otolaryngol Head Neck Surg 2000;126(12):1457-61 
    12. 양유정 등. 두경부 암 환자에서 경부 림프절 전이에 대한 $^{18}F$-FDG-PET과 CT/MRI의 진단적 정확도 비교: 림츠절군에 따른 연구. 대한핵의학회지 2004;38(1):52-61 
    13. Ng SH, Yen TC, Liao CT, Chang TC, Chan SC, Ko SF, Wang HM, Wong HF: 18F-FDG PET and CT/MRI in oral cavity squamous cell carcinoma: A prospective study of 124 patients with histologic correlation. J Nucl Med 2005;46:1136-1143 
    14. Sandro J. Stoeckli, Hans Steinert, Madeleine Pfaltz, Stephan Schmid. Is there a role for positron emission tomography with 18F-fluorodeoxyglucose in the initial staging of nodal negative oral and oroparyngeal squamous cell carcinoma. Head Neck 2002;24:345-349 
    15. Heiko Schoder et al. $^{18}F$-FDG PET/CT for detecting nodal metastases in patients with oral cancer staged N0 by clinical examination and CT/MRI J Nucl Med 2006;47:755-762 
    16. Schoder H, Larson SM: Positron emission tomography for prostate, bladder, and renal cancer. Semin Nucl Med 2004;34(4):274-92. Review 

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    2. 2010 "구강 내 접근법에 의한 심부 악하선 타석제거술" 大韓口腔顎顔面外科學會誌 = Journal of the Korean Association of Oral and Maxillofacial Surgeons 36 (6): 548~552    
  • 강상훈 (6)

  • 김기호 (6)

  • 남웅 (49)

  • 김형준 (79)

  • 차인호 (85)

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