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Use of [18F]Fluorodeoxyglucose Positron Emission Tomography in Evaluating Locally Recurrent and Metastatic Adrenocortical Carcinoma
Abstract
CONTEXT: Adrenocortical carcinomas are uncommon, and their evaluation by [(18)F]fluorodeoxyglucose positron emission tomography (FDG PET) has not been well evaluated. OBJECTIVE: The purpose of this study was to examine the potential utility of FDG PET in the detection of recurrent or metastatic adrenocortical carcinoma. DESIGN: In patients with known adrenocortical carcinoma who underwent FDG-PET imaging for suspected recurrence or metastasis, FDG activity was compared with other imaging findings, clinical features, and the presence or absence of disease as confirmed by resection, biopsy, or clinical follow-up. SETTING: The study took place at four tertiary referral centers. PATIENTS OR OTHER PARTICIPANTS: Twelve patients (10 females and two males, 5-71 yr of age) were evaluated. MAIN OUTCOME MEASURES: The main outcome measures were FDG activity, other imaging findings, and clinical features. RESULTS: Abnormal FDG uptake correctly indicated tumor recurrence in 10 patients. One patient with no abnormal FDG activity had a morphological abnormality subsequently proven to be a postoperative scar. Two patients, one with very small pulmonary lesions and one with a hepatic metastasis, had false-negative findings. CONCLUSIONS: Most adrenocortical carcinomas accumulate and retain FDG and thus can be visualized by PET. However, false-negative findings are possible, especially with very small lesions.
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“Intensity of FDG uptake was found to be related to survival in patients with ACC, with a maximum SUV of >10 indicating poor prognosis (111).”
From Adrenocortical carcinoma (2014) · cites this paper as [111]
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Metadata
- Authors
- Mackie, G. C., Shulkin, B. L., Ribeiro, R. C., Worden, F. P., Gauger, P. G., Mody, R. J., Connolly, L. P., Kunter, G., Rodriguez-Galindo, C., Wallis, J. W., Hurwitz, C. A., & Schteingart, D. E.
- Affiliations
- University of Michigan (US)
- St. Jude Children's Research Hospital (US)
- Department of Internal Medicine, Divisions of Hematology-Oncology (F.P.W.) Ann Arbor, Michigan 48109
- Department of Surgery (P.G.G.) Ann Arbor, Michigan 48109
- Boston Children's Hospital (US)
- Departments of Pediatrics (G.K.) St. Louis, Missouri 63110
- Hematology-Oncology (R.C.R., C.R.-G.), St. Jude Children’s Research Hospital, Memphis, Tennessee 38105
- Washington University in St. Louis (US)
- Maine Medical Center (US)
- Endocrinology and Metabolism (D.E.S.) Ann Arbor, Michigan 48109
- Corresponding author
- Shulkin, Barry L.
- Venue
- The Journal of Clinical Endocrinology & Metabolism
- Publisher
- The Endocrine Society
- Published
- 2006-07-01
- Volume
- 91
- Issue
- 7
- Pages
- 2665-2671
- ISSN
- 0021-972X (ISSN-L)
- 1945-7197
- OpenAlex
- W2146827226
- Cited by
- 115
- References
- 29
- Citations by year
- 2024: 5 · 2023: 6 · 2022: 9 · 2021: 2 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 4 · 2016: 7 · 2015: 9 · 2014: 10 · 2013: 6 · 2012: 8
- FWCI
- 7.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Clinical Endocrinology & Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Lebanese Syrian Associated Charities
- U.S. Public Health Service
- National Cancer Institute (5R25 CA 23944, CA54216, CA21765, R25CA023944, P30CA021765)
- National Center for Research Resources (M-01RR00042, M01RR000042)
- Topics
- Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Medical Imaging Techniques and Applications
- Health Sciences › Medicine › Oncology › Neuroendocrine Tumor Research Advances
- Keywords
- adrenocortical carcinoma, FDG-PET, tumor recurrence, metastasis detection, false-negative results, small pulmonary lesions, liver metastasis, postoperative scar
- MeSH terms
- Adrenal Cortex Neoplasms, Adult, Aged, Child, Child, Preschool, False Negative Reactions, Female, Humans, Liver Neoplasms, Lung Neoplasms, Male, Middle Aged, Neoplasm Metastasis, Neoplasm Recurrence, Local, Fluorodeoxyglucose F18, Positron-Emission Tomography
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