4.6 Article

The role of FDG PET/CT in patients with locoregional breast cancer recurrence: A comparison to conventional imaging techniques

期刊

EJSO
卷 36, 期 4, 页码 387-392

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.ejso.2009.11.009

关键词

Breast cancer; Neoplasm staging; Patient management; Positron-emission tomography; Recurrence; Surgery

向作者/读者索取更多资源

Purpose: The aim of this study was to evaluate the impact of F-18-fluorodeoxyglucose positron-emission tomography/computed tomography (FDG PET/CT) on clinical management in patients with locoregional breast cancer recurrence amenable for locoregional treatment and to compare the PET/CT results with the conventional imaging data. Patients and methods: From January 2006 to August 2008, all patients with locoregional breast cancer recurrence underwent whole-body PET/CT. PET/CT findings were compared with results of the conventional imaging techniques and final pathology. The impact of PET/CT results on clinical management was evaluated based on clinical decisions obtained from patient files. Results: 56 patients were included. In 32 patients (57%) PET/CT revealed additional tumour localisations. Distant metastases were detected in I I patients on conventional imaging and in 23 patients on PET/CT images (p < 0.01). In 25 patients (45%), PET/CT detected additional lesions not visible on conventional imaging. PET/CT had an impact on clinical management in 27 patients (48%) by detecting more extensive locoregional disease or distant metastases. In 20 patients (36%) extensive surgery was prevented and treatment was changed to palliative treatment. The sensitivity, specificity, accuracy, positive and negative predictive values of FDG PET/CT were respectively 97%, 92%, 95%, 94% and 96%. Conclusions: PET/CT, in addition to conventional imaging techniques, plays an important role in staging patients with locoregional breast cancer recurrence since its result changed the clinical management in almost half of the patients. PET/CT could potentially replace conventional staging imaging in patients with a locoregional breast cancer recurrence. (c) 2009 Elsevier Ltd. All rights reserved.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.6
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Oncology

Clinical impact of MRI-detected additional lesions in breast cancer patients with neoadjuvant systemic therapy at the Netherlands cancer institute

Ariane A. van Loevezijn, Hillegonda A. O. Winter-Warnars, Genevieve S. Hernandez, Christiaan M. de Bloeme, Frederieke H. van Duijnhoven, Marie-Jeanne T. F. D. Vrancken Peeters

Summary: This study retrospectively selected early-stage breast cancer patients who underwent neoadjuvant systemic therapy (NST) and found that MRI could detect additional lesions in some patients, which could impact surgical treatment. Among them, 31% of patients had lesions detected in the ipsilateral breast, and 26% of patients underwent more extensive surgery after the detection of lesions on MRI.

BREAST CANCER RESEARCH AND TREATMENT (2023)

Article Oncology

Immediate or delayed oncoplastic surgery after breast conserving surgery at the Netherlands Cancer Institute: a cohort study of 251 cases

Ariane A. A. van Loevezijn, Charissa S. S. Geluk, Marieke J. J. van den Berg, Erik D. D. van Werkhoven, Marie-Jeanne T. F. D. Vrancken Peeters, Frederieke H. H. van Duijnhoven, Marije J. J. Hoornweg

Summary: This study aimed to evaluate the surgical outcomes of immediate and delayed oncoplastic surgery (OPS). The study found that selecting delayed OPS allowed for re-excision of margins without dismantling the reconstruction, achieving excellent breast conservation rates.

BREAST CANCER RESEARCH AND TREATMENT (2023)

Article Oncology

Oncoplastic breast conserving surgery: is there a need for standardization? Results of a nationwide survey

Nansi Maliko, Thomas Schok, Nina Bijker, Michel W. J. M. Wouters, Luc J. A. Strobbe, Marije J. Hoornweg, Marie-Jeanne T. F. D. Vrancken Peeters

Summary: OPBCS is a major part of daily clinical practice of Dutch breast surgeons treating BC patients. A clear definition and standardization is necessary to improve the quality of BC care.

BREAST CARE (2023)

Article Oncology

Radiotherapy or Surgery of the Axilla After a Positive Sentinel Node in Breast Cancer: 10-Year Results of the Randomized Controlled EORTC 10981-22023 AMAROS Trial

Sanne A. L. Bartels, Mila Donker, Coralie Poncet, Nicolas Sauve, Marieke E. E. Straver, Cornelis J. H. van de Velde, Robert E. E. Mansel, Charlotte Blanken, Lorenzo Orzalesi, Jean H. G. Klinkenbijl, Huub C. J. van der Mijle, Grard A. P. Nieuwenhuijzen, Sanne C. C. Veltkamp, Thijs van Dalen, Andreas Marinelli, Herman Rijna, Marko Snoj, Nigel J. J. Bundred, Jos W. S. Merkus, Yazid Belkacemi, Patrick Petignat, Dominic A. X. Schinagl, Corneel Coens, Geertjan van Tienhoven, Frederieke van Duijnhoven, Emiel J. T. Rutgers

Summary: This clinical trial compared axillary lymph node dissection (ALND) with axillary radiotherapy (ART) in patients with cT1-2, node-negative breast cancer. The study found that both modalities had comparable axillary control, but ART was associated with less morbidity. Additionally, patients in the ART group had a higher risk of developing second primary cancers.

JOURNAL OF CLINICAL ONCOLOGY (2023)

Article Oncology

Associations of a Breast Cancer Polygenic Risk Score With Tumor Characteristics and Survival

Josephine M. N. L. Cardozo, Irene L. E. Andrulis, Stig E. Bojesen, Thilo M. Doerk, Diana M. A. Eccles, Peter A. J. Fasching, Maartje J. Hooning, Renske Keeman, Heli Nevanlinna, Emiel J. T. F. Rutgers, Douglas F. Easton, Per Hall, Paul D. P. J. Pharoah, Laura J. K. van't Veer, Marjanka K. Schmidt

Summary: A polygenic risk score (PRS) consisting of 313 common genetic variants (PRS313) is associated with risk of breast cancer and contralateral breast cancer. This study aimed to evaluate the association of the PRS313 with clinicopathologic characteristics of, and survival following, breast cancer. The results showed that PRS313 is associated with favorable tumor characteristics but not independently associated with prognosis. Rating: 8/10.

JOURNAL OF CLINICAL ONCOLOGY (2023)

Letter Surgery

Maximising the preservation of previously irradiated native mammary skin by skin-banking of the autologous flap: Outcome after 33 skin-sparing or nipple-sparing salvage mastectomies

Martine A. van Huizum, J. Joris Hage, Astrid N. Scholten, Emiel J. Rutgers

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY (2023)

Article Surgery

Revision Incidence after Immediate Direct-to-Implant versus Two-Stage Implant-Based Breast Reconstruction Using National Real-World Data

Babette E. Becherer, Erik A. Heeg, Danny A. Young-Afat, Marie-Jeanne T. F. D. Vrancken Peeters, Hinne A. Rakhorst, Marc A. M. Mureau

Summary: In this population-based study in the Netherlands, the incidence of unplanned revision surgery was lower in immediate implant-based breast reconstruction using a direct-to-implant approach compared to a two-stage approach. Additionally, more breasts were reconstructed within the planned number of operations in the direct-to-implant group.

PLASTIC AND RECONSTRUCTIVE SURGERY (2023)

Article Public, Environmental & Occupational Health

The Areola study: design and rationale of a cohort study on long-term health outcomes in women with implant-based breast reconstructions

Jonathan Spoor, Marc A. M. Mureau, Juliette Hommes, Hinne Rakhorst, Anneriet E. Dassen, Hester S. A. Oldenburg, Yvonne L. J. Vissers, Esther M. Heuts, Linetta B. Koppert, Laura H. Zaal, Rene R. W. J. van der Hulst, Marie-Jeanne T. F. D. Vrancken Peeters, Eveline M. A. Bleiker, Flora E. van Leeuwen

Summary: This article introduces the Areola study, which aims to assess the risks of breast implant illness (BII) and autoimmune diseases in Dutch breast cancer survivors with silicone breast implants. The study design includes a retrospective cohort of breast cancer survivors who underwent implant-based reconstruction surgery between 2000 and 2015 in six major hospitals in the Netherlands. A comparison group of breast cancer survivors without breast implants and a group of women who received breast augmentation surgery will also be included. The study will collect data through a web-based questionnaire and link it with population-based databases to evaluate the prevalence, incidence, and risk factors of BII and autoimmune disorders.

ANNALS OF EPIDEMIOLOGY (2023)

Editorial Material Oncology

ASO Visual Abstract: Biopsy-Guided Pathological Response Assessment in Breast Cancer is Insufficient-Additional Pathology Findings of the MICRA Trial

Annemiek K. E. van Hemert, Frederieke H. van Duijnhoven, Ariane A. van Loevezijn, Claudette E. Loo, Terry Wiersma, Emilie J. Groen, Marie-Jeanne T. F. D. Vrancken Peeters

ANNALS OF SURGICAL ONCOLOGY (2023)

Article Oncology

Biopsy-Guided Pathological Response Assessment in Breast Cancer is Insufficient: Additional Pathology Findings of the MICRA Trial

Annemiek K. E. van Hemert, Frederieke H. H. van Duijnhoven, Ariane A. A. van Loevezijn, Claudette E. E. Loo, Terry Wiersma, Emilie J. J. Groen, Marie-Jeanne T. F. D. Vrancken Peeters

Summary: The study aims to assess the residual disease in patients who had a favorable response on MRI and no residual disease detected through biopsy after neoadjuvant systemic treatment (NST) for breast cancer. The findings showed that substantial residual invasive disease remains in all molecular subtypes, suggesting the need for surgical excision until better imaging and biopsy techniques are developed.

ANNALS OF SURGICAL ONCOLOGY (2023)

Article Oncology

De-ESCAlating RadioTherapy in breast cancer patients with pathologic complete response to neoadjuvant systemic therapy: DESCARTES study

Annemiek K. E. van Hemert, Josefien P. P. van Olmen, Liesbeth J. J. Boersma, John H. H. Maduro, Nicola S. S. Russell, Jolien Tol, Ellen G. G. Engelhardt, Emiel J. Th. Rutgers, Marie-Jeanne T. F. D. Vrancken Peeters, Frederieke H. H. van Duijnhoven

Summary: The purpose of this study is to show that omitting adjuvant radiotherapy in breast cancer patients with pCR after NST can result in low rates of local recurrence and good quality of life.

BREAST CANCER RESEARCH AND TREATMENT (2023)

Review Oncology

EBCC-13 manifesto: Balancing pros and cons for contralateral prophylactic mastectomy

Marjanka K. Schmidt, Jennifer E. Kelly, Anne Bredart, David A. Cameron, Jana de Boniface, Douglas F. Easton, Birgitte Offersen, Fiorita Poulakaki, Isabel T. Rubio, Francesco Sardanelli, Rita Schmutzler, Tanja Spanic, Britta Weigelt, Emiel J. T. Rutgers

Summary: After a unilateral breast cancer diagnosis, more and more patients are choosing to have contralateral prophylactic mastectomy (CPM), the removal of the healthy breast. Breast cancer specialists need to provide guidance to women considering CPM. This manifesto discusses the challenges of CPM and offers recommendations to improve outcomes for women with unilateral breast cancer.

EUROPEAN JOURNAL OF CANCER (2023)

Article Oncology

Toward Intraoperative Margin Assessment Using a Deep Learning-Based Approach for Automatic Tumor Segmentation in Breast Lumpectomy Ultrasound Images

Dinusha Veluponnar, Lisanne L. de Boer, Freija Geldof, Lynn-Jade S. Jong, Marcos Da Silva Guimaraes, Marie-Jeanne T. F. D. Vrancken Peeters, Frederieke van Duijnhoven, Theo Ruers, Behdad Dashtbozorg

Summary: During breast-conserving surgeries, accurate evaluation of tumor margins is challenging, leading to potential need for additional surgery or boost radiotherapy. The use of computer-aided delineation of tumor boundaries in ultrasound images shows promising results in predicting positive and close margins. There is a clinical need for an accurate and rapid margin assessment tool, and computer-aided ultrasound evaluation offers a potential solution.

CANCERS (2023)

Correction Oncology

Tumour-educated platelets for breast cancer detection: biological and technical insights (vol 128, pg 1572, 2023)

Marte C. C. Liefaard, Kat S. S. Moore, Lennart Mulder, Daan van den Broek, Jelle Wesseling, Gabe S. S. Sonke, Lodewyk F. A. Wessels, Matti Rookus, Esther H. H. Lips

BRITISH JOURNAL OF CANCER (2023)

Article Oncology

Preoperative 6-minute walk distance is associated with postoperative complications in patients undergoing laparoscopic gastrointestinal cancer surgery

Yuchao Liu, Zijia Liu, Liangyan Zhang, Yuelun Zhang, Ningchen Zhang, Yue Han, Le Shen

Summary: This study found an association between preoperative 6-min walk distance and postoperative complications in patients undergoing laparoscopic gastrointestinal cancer surgery.
Review Oncology

Uterine transposition versus uterine ventrofixation before radiotherapy as a fertility sparing option in young women with pelvic malignancies: Systematic review of the literature and dose simulation

Matteo Pavone, Rosa Autorino, Nicolo Bizzarri, Giuditta Chilorio, Vincenzo Valentini, Giacomo Corrado, Gabriella Ferrandina, Gabriella Macchia, Maria Antonietta Gambacorta, Giovanni Scambia, Denis Querleu

Summary: Ovarian transposition is an established method for protecting the ovaries from radiation, while surgical procedures for protecting the uterus are still under investigation. This study conducted a systematic review of uterine displacement techniques and performed dose simulation to assess the radiation dose received by the uterus. The results showed that the transposition approach was the most protective.
Article Oncology

A pragmatic approach improves the clinical management of stage IV gastric cancer: Comparison between the Meta-Gastro results and the GIRCG's retrospective series

Silvia Ministrini, Maria Bencivenga, Federica Filippini, Gianni Mura, Carlo Milandri, Maria Antonietta Mazzei, Giulio Bagnacci, Mattia Berselli, Manlio Monti, Paolo Morgagni, Leonardo Solaini, Daniele Marrelli, Stefania Piccioni, Stefano De Pascale, Luigina Graziosi, Rossella Reddavid, Fausto Rosa, Claudio Belluco, Guido Tiberio

Summary: The Italian Research Group for Gastric Cancer developed a prospective database to evaluate the impact of a pragmatic attitude on the management of stage IV gastric cancer patients. The study found that different metastatic sites did not affect survival rates, but multiple metastatic sites were associated with worse survival. Patients who could undergo curative resection had better survival rates. A more accurate diagnostic workup and staging had a favorable impact on survival.
Article Oncology

Stentless florence robotic intracorporeal neobladder (FloRIN), a feasibility prospective randomized clinical trial

Luca Lambertini, Fabrizio Di Maida, Anna Cadenar, Samuele Nardoni, Antonio Andrea Grosso, Francesca Valastro, Pietro Spinelli, Riccardo Fantechi, Agostino Tuccio, Gianni Vittori, Andrea Mari, Lorenzo Masieri, Andrea Minervini

Summary: The aim of this study was to evaluate the functional outcomes of Florence intracorporeal neobladder (FloRIN) configuration technique performed with a stentless procedure. The results showed that the stentless procedure was associated with shorter console time and lower estimated blood loss compared to the stent group. There were no significant differences in terms of perioperative features and mid-term functional outcomes between the two groups.
Article Oncology

Neoadjuvant chemotherapy followed by surgery for HPV-associated tonsillar cancer: Does imaging reflect the pathological response?

Geun-Jeon Kim, Jooin Bang, Hyun-Il Shin, Sang-Yeon Kim, Dong -Il Sun

Summary: This study evaluated the outcome of tonsillar cancer managed with neoadjuvant chemotherapy followed by surgery. The results showed that neoadjuvant chemotherapy reduced tumor volume and pathological adverse features, significantly decreasing the need for adjuvant therapy. A greater reduction in tumor volume predicted a complete pathologic response. There was no significant difference in survival rates between the groups.
Article Oncology

Factors of oncological failure in two stage hepatectomy for colorectal liver metastases

Alexandra Nassar, Stylianos Tzedakis, Ugo Marchese, Gaanan Naveendran, Remy Sindayigaya, Martin Gaillard, Francois Cauchy, Mickael Lesurtel, Brice Gayet, Olivier Soubrane, David Fuks

Summary: This study identified recurrence between the two stages and a larger tumor size in the future liver remnant as critical factors contributing to the failure of two-stage hepatectomy for bilobar colorectal liver metastases. These findings have important clinical implications for the selection and evaluation of TSH surgery.
Letter Oncology

Pancreatic cancer care: Lighting the way with the torch of staging laparoscopy and advanced imaging

Michele Fiore, Gian Marco Petrianni, Gabriele D'Ercole, Pasquale Trecca, Sara Ramella

Review Oncology

Impact of thoracic duct resection during radical esophagectomy on oncological and survival outcomes: Systematic review

Harry Farrow, Oliver J. Pickering, James A. Gossage, Philip H. Pucher

Summary: The inclusion or exclusion of the thoracic duct in radical esophagectomy for esophageal cancer is a controversial issue. While removing the thoracic duct may increase lymph node yield, it may also lead to higher morbidity without any survival benefit.
Article Oncology

A novel tumor staging system incorporating cN status for stratifying early stage esophageal squamous cell carcinoma patients after trimodal therapy

Xiaokun Li, Siyuan Luan, Chi Zhang, Weili Kong, Xin Xiao, Haowen Zhang, Jianfeng Zhou, Yushang Yang, Yang Xu, Yong Qiang, Pinhao Fang, Yi Shen, Yong Yuan

Summary: This study proposes a new staging system based on ypTNM stage and cN status for early stage ESCC patients after nCRT. The new ypTNM-cN staging system demonstrates superior predictive ability and classification efficacy compared to the AJCC 8th ypTNM staging system. It provides new insights for accurately stratifying ypI stage ESCC patients.