1. Department of Nuclear Medicine, Liuzhou Workers’ Hospital, Liuzhou Guangxi 545000, China|
2. Department of Nuclear Medicine, Guangxi Medical University Affiliated Tumor Hospital, Nanning Guangxi 530021, China
Abstract:Objective To investigate the diagnostic value of 18F-FDG PET/CT in malignant lesions of the pharynx region by analyzing the PET/CT imaging data of space-occupying lesions. Methods The imaging data of 44 patients who had 18F-FDG PET/CT examination in our hospital from January 2016 to July 2019 for diagnosis or suspicion of malignant lesions in the pharyngeal isthmus region were collected. The sensitivity, specificity and accuracy of 18F-FDG PET/CT for local lesions and lymph node metastasis of malignant lesions in the pharyngeal isthmus region were analyzed by comparison with the final pathology and follow-up results. Results There were 44 cases with positive PET/CT imaging of local lesions in the pharyngeal isthmus area, including 42 cases with malignant lesions and 2 cases with benign lesions. The sensitivity, specificity and accuracy of 18F-FDG PET/CT in the diagnosis of malignant lesions in the pharynx region were 100%, 50% and 97.7%, respectively. 30 cases had positive PET/CT imaging of lymph nodes, 28 cases were finally confirmed as lymph node metastasis by pathology or follow-up, 2 cases had inflammatory hyperplasia of lymph nodes. The sensitivity, specificity and accuracy of 18F-FDG PET/CT in the diagnosis of lymph node metastasis were 96.5%, 86.7% and 93.1% (41/44). 18F-FDG PET/CT could accurately show the location, scope and lymph node metastasis of the recurrent lesions in 6 of the 42 malignant lesions. Conclusion 18F-FDG PET/CT is of great value in the diagnosis of malignant tumors in the pharyngeal isthmus region, lymph node metastasis and postoperative recurrence.
黄春雪1,肖国有2,滕才钧1,韦建林1,覃丽兰1,柴华2,邓燕云1. 18F-FDG PET/CT对咽峡区恶性病变的诊断价值[J]. 中国医疗设备, 2020, 35(9): 46-49.
HUANG Chunxue1,XIAO Guoyou2,TENG Caijun1,WEI Jianlin1,Qin Lilan1,CHAI Hua2,DENG Yanyun1. Value of 18F-FDG PET/CT in Diagnosis of Malignant Lesions in the Pharyngeal Region. China Medical Devices, 2020, 35(9): 46-49.