The value of <sup>18</sup>F-fluorodeoxyglucose PET/CT in detecting postoperative recurrence and metastasis of esophageal carcinoma

ZHOU Nina; LI Nan; ZHU Hua; FAN Yang; YANG Zhi

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The value of ¹⁸F-fluorodeoxyglucose PET/CT in detecting postoperative recurrence and metastasis of esophageal carcinoma

更新时间：2026-06-18

- The value of ¹⁸F-fluorodeoxyglucose PET/CT in detecting postoperative recurrence and metastasis of esophageal carcinoma
- Vol. 24, Issue 3, Pages: 196-200(2015)
- 作者机构：
  
  1. 北京大学肿瘤医院暨北京市肿瘤防治研究所核医学科,北京,100142
  2. 恶性肿瘤发病机制及转化研究教育部重点实验室,北京,100142
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Online First：20 October 2015，
  
  Published：20 October 2015
- 稿件说明：
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周妮娜,李囡,朱华,等. ¹⁸F-脱氧葡萄糖PET/CT对监测食管鳞癌术后复发转移的临床价值[J]. 肿瘤影像学, 2015, 24(3): 196-200
DOI：

周妮娜,李囡,朱华,等. ¹⁸F-脱氧葡萄糖PET/CT对监测食管鳞癌术后复发转移的临床价值[J]. 肿瘤影像学, 2015, 24(3): 196-200 DOI：

摘要

目的：

回顾性分析食管鳞癌术后复发转移病例的

F-脱氧葡萄糖(

F-FDG)PET/CT影像特点，探讨PET/CT监测食管癌复发转移的临床应用价值。

方法：

收集2009年12月2014年12月食管鳞癌术后于本院行

F-FDG PET/CT检查的病例，对166例有复发和(或)转移的病例分析其复发或转移部位、频数及代谢程度。

结果：

166例患者中，局部复发45例，80%为吻合口原位复发，最大标准摄取值(SUVmax)与病灶厚度无明显相关性(

＞0.05)。149例转移病例中，单纯淋巴结转移占72.5%、单纯血行转移占4.7%、混合转移占22.8%。淋巴结转移以纵隔(66.8%)、锁骨上(39.2%)、腹膜后(21.1%)、腹腔(11.4%)为多，少数出现肺门、盆腔、颈部、腋窝、内乳区淋巴结转移。血行转移以骨、肺、肝、胸膜为主，少数伴有肌肉、腹膜、脑、脾、心包、肾上腺转移。PET/CT可检出小于1.0 cm的转移淋巴结(57例)，淋巴结短径大于等于1.0 cm组与小于1.0 cm组的SUVmax差异有统计学意义(

＜0.01)，SUVmax与淋巴结大小无明显相关性(

＞0.05)。

结论：

食管鳞癌术后复发以吻合口局部为主，转移以淋巴结为主，少数为血行转移。PET/CT易检出复发转移病灶，在探测小于1.0 cm淋巴结转移、非常见部位淋巴结转移、远处血行转移方面独具优势。

Abstract

Objective:

To investigate the application value of 18F-fluorodeoxyglucose (

F-FDG) PET/CT in detecting postoperative recurrence and metastasis of esophageal carcinoma.

Methods:

From December 2009 to December 2014

a total of 300 patients with curative resection of the esophageal carcinoma underwent PET/CT examination in our hospital. Of these patients

6 cases diagnosed with recurrence or metastasis were enrolled in the study. Results: Among the 166 cases

local recurrence was foundin 45 patients

80% with anastomotic recurrence in situ. The maximal standardized uptake value (SUVmax) was not correlated with lesion thickness. Among 149 metastatic cases

72.5% had simple lymph node metastasis

4.7% had simple hematogenous metastasis

and 22.8% had lymph node metastasis and hematogenous metastasis.

F-FDG PET/CT detected 57 cases with metastatic lymph node within 1.0 cm. There was no significance in SUVmax between metastatic lymph node 1.0 cm group and metastatic lymph node 1.0 cm group. SUVmax was not correlated with lymph node diameter.

Conclusion:

The postoperative recurrence of esophageal carcinoma is usually localized at anastomotic site

and lymph node metastasis is common.

F-FDG PET/CT is one optional method for diagnosis of recurrence and metastasis after curative resection of esophageal carcinoma. It plays an outstanding role in detecting lymph node (1.0 cm) metastasis

uncommon lymph node metastasis and distant hematogenous metastasis.

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The value of 18F-fluorodeoxyglucose PET/CT in detecting postoperative recurrence and metastasis of esophageal carcinoma

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The value of ¹⁸F-fluorodeoxyglucose PET/CT in detecting postoperative recurrence and metastasis of esophageal carcinoma