Correlation between Radiological Characteristics, PET-CT and Histological Subtypes of Primary Lung Adenocarcinoma-A 102 Case Series Analysis.

Autor:	Colic N; Center for Radiology and MR, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Stevic R; Center for Radiology and MR, University Clinical Center of Serbia, 11000 Belgrade, Serbia.; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia., Stjepanovic M; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Pulmonology, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Savić M; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Thoracic Surgery, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Jankovic J; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Pulmonology, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Belic S; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Pulmonology, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Petrovic J; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.; Center for Nuclear Medicine with PET, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Bogosavljevic N; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.; Institute for Orthopedics 'Banjica', 11000 Belgrade, Serbia., Aleksandric D; Institute for Orthopedics 'Banjica', 11000 Belgrade, Serbia., Lukic K; Center for Radiology and MR, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Kostić M; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Thoracic Surgery, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Saponjski D; Center for Radiology and MR, University Clinical Center of Serbia, 11000 Belgrade, Serbia.; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia., Vasic Madzarevic J; Clinic for Thoracic Surgery, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Stojkovic S; Clinic for Gastroenterohepatology, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Ercegovac M; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Thoracic Surgery, University Clinical Center of Serbia, 11000 Belgrade, Serbia., Garabinovic Z; Medical Faculty, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Thoracic Surgery, University Clinical Center of Serbia, 11000 Belgrade, Serbia.
Jazyk:	angličtina
Zdroj:	Medicina (Kaunas, Lithuania) [Medicina (Kaunas)] 2024 Apr 10; Vol. 60 (4). Date of Electronic Publication: 2024 Apr 10.
DOI:	10.3390/medicina60040617
Abstrakt:	Background and Objectives: Lung cancer is the second most common form of cancer in the world for both men and women as well as the most common cause of cancer-related deaths worldwide. The aim of this study is to summarize the radiological characteristics between primary lung adenocarcinoma subtypes and to correlate them with FDG uptake on PET-CT. Materials and Methods: This retrospective study included 102 patients with pathohistologically confirmed lung adenocarcinoma. A PET-CT examination was performed on some of the patients and the values of SUVmax were also correlated with the histological and morphological characteristics of the masses in the lungs. Results: The results of this analysis showed that the mean size of AIS-MIA (adenocarcinoma in situ and minimally invasive adenocarcinoma) cancer was significantly lower than for all other cancer types, while the mean size of the acinar cancer was smaller than in the solid type of cancer. Metastases were significantly more frequent in solid adenocarcinoma than in acinar, lepidic, and AIS-MIA cancer subtypes. The maximum standardized FDG uptake was significantly lower in AIS-MIA than in all other cancer types and in the acinar predominant subtype compared to solid cancer. Papillary predominant adenocarcinoma had higher odds of developing contralateral lymph node involvement compared to other types. Solid adenocarcinoma was associated with higher odds of having metastases and with higher SUVmax. AIS-MIA was associated with lower odds of one unit increase in tumor size and ipsilateral lymph node involvement. Conclusions: The correlation between histopathological and radiological findings is crucial for accurate diagnosis and staging. By integrating both sets of data, clinicians can enhance diagnostic accuracy and determine the optimal treatment plan.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu