Nội dung được dịch bởi AI, chỉ mang tính chất tham khảo
Mối tương quan giữa các chỉ số chuyển hóa của khối u tiên phát với các đặc điểm lâm sàng, mô học và phân tử ở bệnh nhân ung thư vú trong nghiên cứu FDG-PET/CT chuẩn bị phẫu thuật
Tóm tắt
Mục tiêu của nghiên cứu tiến cứu này là đánh giá mối tương quan giữa các chỉ số hoạt động chuyển hóa của khối u tiên phát; giá trị hấp thu tối đa chuẩn hóa (SUVmax) và tỷ lệ SUVmax của khối u/trung bình SUV của gan (TLR) với các đặc điểm lâm sàng, mô học và phân tử của bệnh nhân ung thư vú (BC) ở giai đoạn đầu sử dụng chụp cắt lớp phát xạ positron với 18F-fluorodeoxyglucose (FDG) (PET/CT). Bốn mươi bệnh nhân nữ mới được chẩn đoán bệnh BC đã tham gia vào nghiên cứu của chúng tôi, tuổi từ 31-78, trung bình 50,5 (+/- SD 11,7). Tất cả các khối u tiên phát được phát hiện với giá trị SUVmax trung bình là 10,8 (+/- SD 7,9). Giá trị SUVmax trung bình/trung vị của khối u tiên phát cao hơn ở bệnh nhân tiền mãn kinh, giai đoạn III và IV, có thụ thể Estrogen âm tính (ER-), thụ thể Progesterone âm tính (PR-), có thụ thể yếu tố tăng trưởng biểu bì người 2 dương tính (Her2neu+), có độ ác tính hạt nhân cao (GIII), nhóm phân tử ba âm tính (TN) và di căn hạch bạch huyết nách dương tính (ALNs), (P= 0.003, 0.017, 0.113, 0.089 0.01 ,0.002 , 0.007 và 0.016 tương ứng). Giá trị TLR trung bình/trung vị cao hơn ở bệnh nhân tiền mãn kinh, Her2neu+, GIII, nhóm phân tử TN, giai đoạn III và IV và ở bệnh nhân có ALNs dương tính, bệnh nhân ER- và PR- (P= 0.002, 0.0476 , 0.005 , 0.018 , 0.039 và 0.022, 0.095 và 0.129 tương ứng). SUVmax của ổ bệnh tiên phát và TLR có mối tương quan tiêu cực trung bình với tuổi của bệnh nhân (P= 0.005 và 0.008 tương ứng), đồng thời chúng có mối tương quan tích cực trung bình với kích thước của khối u tiên phát (P= 0.019 và 0.036 tương ứng). TLR có thể dự đoán sự xâm lấn bạch huyết AUC= 0.612 (95% CI: 0.431-792). Độ nhạy và độ đặc hiệu tổng thể của PET/CT trong việc phân loại hạch nách lần lượt là 100 % và 60 % (P= 0.006). Giá trị SUVmax của khối u tiên phát và TLR có các liên kết đáng kể tương tự với các yếu tố tiên lượng khác nhau trong BC nhưng chỉ có TLR mới có thể dự đoán sự xâm lấn hạch bạch huyết.
Từ khóa
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