18F-FDG PET/CT Cannot Substitute Endoscopy in the Staging of Gastrointestinal Involvement in Mantle Cell Lymphoma. A Retrospective Multi-Center Cohort Analysis

被引:2
|
作者
Skrypets, Tetiana [1 ]
Ferrari, Cristina [2 ]
Nassi, Luca [3 ]
Casaluci, Gloria Margiotta [3 ]
Puccini, Benedetta [4 ]
Mannelli, Lara [4 ]
Filonenko, Kateryna [5 ]
Kryachok, Irina [5 ]
Clemente, Felice [1 ]
Vegliante, Maria Carmela [1 ]
Daniele, Antonella [6 ]
Sacchetti, Gianmauro [7 ]
Guarini, Attilio [1 ]
Minoia, Carla [1 ]
机构
[1] IRCCS Ist Tumori Giovanni Paolo II, Haematol Unit, I-70124 Bari, Italy
[2] Univ Bari Aldo Moro, DIM Diagnost Imaging Nucl Med, I-70124 Bari, Italy
[3] Azienda Osped Univ Maggiore Carita, Haematol Dept, I-28100 Novara, Italy
[4] Azienda Osped Careggi, Hematol Dept, I-50139 Florence, Italy
[5] Natl Canc Inst, Oncohematol Dept, UA-03022 Kiev, Ukraine
[6] IRCCS Ist Tumori Giovanni Paolo II, Expt Oncol & Biobank Management Unit, I-70124 Bari, Italy
[7] AOU Maggiore Carita, Nucl Med, I-28100 Novara, Italy
来源
JOURNAL OF PERSONALIZED MEDICINE | 2021年 / 11卷 / 02期
关键词
Mantle Cell Lymphoma; staging; endoscopy; gastric biopsy; colorectal biopsy; 18F-FDG PET/CT;
D O I
10.3390/jpm11020123
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The detection of gastrointestinal (GI) involvement in Mantle Cell Lymphoma is often underestimated and may have an impact on outcome and clinical management. We aimed to evaluate whether baseline 18F-FDG PET/CT presents comparable results to endoscopic biopsy in the diagnosis of GI localizations. In our retrospective cohort of 79 patients, sensitivity and specificity of 18F-FDG PET/CT were low for the stomach, with a fair concordance (k = 0.32), while higher concordance with pathologic results (k = 0.65) was detected in the colorectal tract. Thus, gastric biopsy remains helpful in the staging of MCL despite 18F-FDG PET/CT, while colonoscopy could be omitted in asymptomatic patients. The validation of our data in prospective cohorts is desirable
引用
收藏
页码:1 / 10
页数:9
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