作者: Jacobus J.M. van der Hoeven , Nanda C. Krak , Otto S. Hoekstra , Emile F.I. Comans , Robert P.A. Boom
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摘要: Purpose To prospectively evaluate the effect of adding whole-body 18F-2-fluoro-2-deoxy-d-glucose (FDG) positron emission tomography (PET) to conventional screening for distant metastases in patients with locally advanced breast cancer (LABC). Patients and Methods All women LABC referred participation Spinoza trial were considered eligible this study. included if chest x-ray, bone scan, liver ultrasound, or computed scan performed by referring physician failed reveal metastases. They underwent FDG PET scanning before therapy. subsequently proven switched alternative forms chemotherapy, hormonal therapy, both. Results Among 48 evaluated PET, 14 had abnormal uptake, suspected 12. After simple clinical evaluation (plain history), 10 sites that suggestive abnormality remained. Further work-up revealed four metastas...