Journal of International Oncology ›› 2017, Vol. 44 ›› Issue (5): 361-365.doi: 10.3760/cma.j.issn.1673422X.2017.05.009
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Li Siyuan, Xu Wengui, Tong Guansheng, Zhang Li, Wen Zhe
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Abstract: ObjectiveTo evaluate the value of 18Ffluorodeoxyglucose (FDG) PET/CT in evaluation of curative effect and progressionfree survival (PFS) for lymphoma patients. MethodsThe data of 85 lymphoma patients were retrospectively analyzed. Before and after 48 cycles standardized chemotherapy, the patients were evaluated with 18FFDG PET/CT. The twoyear PFS rate was compared. The value of 18FFDG PET/CT in evaluation of curative effect and PFS for lymphoma patients received chemoradiotherapy was analyzed. ResultsThe non Hodgkin lymphoma (NHL) was the common type, and the common pathogenic sites were head and neck lymph nodes, mediastinum and retroperitoneum. The majority of patients were accompanied with spleen enlargement and local lesions with high metabolism. The complete remission (CR) rate of Hodgkin lymphoma (HL) patients in PET/CT negative group was significantly higher than that in positive group (86.4% vs. 42.9%, P=0.038). The twoyear PFS rates in PET/CT positive group and negative group were 42.9% and 81.8%, and the difference was statistically significant (χ2=7.70, P=0.006). Thirtyfive NHL patients achieved CR, 13 achieved partial remission (PR), and 8 achieved stable disease (SD) or disease progression (PD). The twoyear PFS rates in the CR group, PR group, SD or PD group were 89.7%, 65.3% and 19.4% respectively, and the difference was statistically significant (χ2=12.41,P=0.002). PET/CT imaging had a strong PFS predictive effect on T cell lymphoma (TCL) patients (χ2=13.85, P=0.001) and diffuse large B cell lymphoma (DLBCL) patients (χ2=13.51, P=0.001), and had no predictive effect on follicular lymphoma (FL) patients (χ2=4.63, P=0.099). Conclusion18FFDG PET/CT can evaluate the curative effect of lymphoma effectively and early predict prognosis, and has great guiding significance in choosing therapeutic schedule.
Key words: Lymphoma, Fluorodeoxyglucose F18, Positronemission tomography, Tomography, Xray computed, Prognosis, Efficacy evaluation
LI Si-Yuan, XU Wen-Gui, TONG Guan-Sheng, ZHANG Li, WEN Zhe. Value of 18FFDG PET/CT in evaluation of curative effect and progressionfree survival on lymphoma[J]. Journal of International Oncology, 2017, 44(5): 361-365.
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URL: https://gjzlx.sdfmu.edu.cn/EN/10.3760/cma.j.issn.1673422X.2017.05.009
https://gjzlx.sdfmu.edu.cn/EN/Y2017/V44/I5/361