Prognostic value of pre-treatment [18F] FDG PET/CT in recurrent nasopharyngeal carcinoma without distant metastasis

© 2024. The Author(s)..

BACKGROUND: [18 F]-Fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) has the ability to detect local and/or regional recurrence as well as distant metastasis. We aimed to evaluate the prognosis value of PET/CT in locoregional recurrent nasopharyngeal (lrNPC).

METHODS: A total of 451 eligible patients diagnosed with recurrent I-IVA (rI-IVA) NPC between April 2009 and December 2015 were retrospectively included in this study. The differences in overall survival (OS) of lrNPC patients with and without PET/CT were compared in the I-II, III-IVA, r0-II, and rIII-IVA cohorts, which were grouped by initial staging and recurrent staging (according to MRI).

RESULTS: In the III-IVA and rIII-IVA NPC patients, with PET/CT exhibited significantly higher OS rates in the univariate analysis (P = 0.045; P = 0.009; respectively). Multivariate analysis revealed that with PET/CT was an independent predictor of OS in the rIII-IVA cohort (hazard ratio [HR] = 0.476; 95% confidence interval [CI]: 0.267 to 0.847; P = 0.012). In the rIII-IVA NPC, patients receiving PET/CT sacns before salvage surgery had a better prognosis compared with MRI alone (P = 0.036). The recurrent stage (based on PET/CT) was an independent predictor of OS. (r0-II versus [vs]. rIII-IVA; HR = 0.376; 95% CI: 0.150 to 0.938; P = 0.036).

CONCLUSION: The present study showed that with PET/CT could improve overall survival for rIII-IVA NPC patients. PET/CT appears to be an effective method for assessing rTNM staging.

Errataetall:

ErratumIn: BMC Cancer. 2024 Apr 25;24(1):528. - PMID 38664684

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

BMC cancer - 24(2024), 1 vom: 15. Apr., Seite 466

Sprache:

Englisch

Beteiligte Personen:

Dong, Zhe [VerfasserIn]
Wang, Gao-Yuan [VerfasserIn]
Dai, Dong-Yu [VerfasserIn]
Qin, Guan-Jie [VerfasserIn]
Tang, Ling-Long [VerfasserIn]
Xu, Cheng [VerfasserIn]
Ma, Jun [VerfasserIn]

Links:

Volltext

Themen:

[18F] FDG PET/CT
0Z5B2CJX4D
Fluorodeoxyglucose F18
Journal Article
Locoregional recurrent
Nasopharyngeal carcinoma
Radiopharmaceuticals
TNM

Anmerkungen:

Date Completed 17.04.2024

Date Revised 25.04.2024

published: Electronic

ErratumIn: BMC Cancer. 2024 Apr 25;24(1):528. - PMID 38664684

Citation Status MEDLINE

doi:

10.1186/s12885-024-12189-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371116775