Cited by 351Medical Imaging Techniques and ApplicationsBreast Lesions and CarcinomasCancer Diagnosis and Treatment

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FDG PET Evaluation of Mucinous Neoplasms: Correlation of FDG Uptake with Histopathologic Features

Berger, Kevin L., Nicholson, Siobhan A., Dehdashti, Farrokh, Siegel, Barry A.·2000·American Journal of Roentgenology

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Abstract

Objective Our goal was to assess the sensitivity of positron emission tomography (PET) with 18F-fluorodeoxyglucose (FDG) for the detection of mucinous carcinoma and to determine the histologic features of these tumors that may affect lesion detectability. Materials and methods A retrospective review of all patients with mucinous carcinoma who had undergone FDG PET at our institution from 1995 through 1998 identified 25 patients with new or recurrent mucinous carcinoma at the time of PET. In 22 of these patients, tissue specimens available from either core biopsy or surgical resection allowed detailed histologic analysis. Results FDG PET revealed mucinous carcinoma in only 13 (59%) of 22 patients, resulting in an unusually high percentage (41%) of false-negative results. Two histologic features were found to be predictive of FDG PET results: tumor cellularity (p = 0.011) and the amount of mucin within the tumor mass (p = 0.009). There was a positive correlation between tumor FDG uptake and cellularity but a negative correlation with the amount of mucin. Conclusion FDG PET is limited in the evaluation of mucinous tumors, particularly in hypocellular lesions with abundant mucin.

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Authors: Berger, K. L., Nicholson, S. A., Dehdashti, F., & Siegel, B. A.
Affiliations: Washington University in St. Louis (US)
ORCID: Dehdashti, Farrokh
Siegel, Barry A.
Venue: American Journal of Roentgenology
Publisher: American Roentgen Ray Society
Published: 2000-04
Volume: 174
Issue: 4
Pages: 1005-1008
ISSN: 0002-9580 (ISSN-L)
0361-803X
1546-3141
DOI: 10.2214/ajr.174.4.1741005
OpenAlex: W1748631556
Cited by: 351
References: 25
Citations by year: 2026: 14 · 2025: 13 · 2024: 10 · 2023: 12 · 2022: 16 · 2021: 13 · 2020: 15 · 2019: 22 · 2018: 9 · 2017: 8 · 2016: 12 · 2015: 12 · 2014: 16 · 2013: 16 · 2012: 24
FWCI: 6.91
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Roentgenology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Medical Imaging Techniques and Applications
Health Sciences › Medicine › Pathology and Forensic Medicine › Breast Lesions and Carcinomas
Health Sciences › Medicine › Oncology › Cancer Diagnosis and Treatment
Keywords: FDG-PET, mucinous carcinoma, 18F-fluorodeoxyglucose, tumor cellularity, false-negative results
MeSH terms: Adult, Aged, Adenocarcinoma, Mucinous, Female, Humans, Male, Middle Aged, Retrospective Studies, Sensitivity and Specificity, Tomography, Emission-Computed, Radiopharmaceuticals, Fluorodeoxyglucose F18

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FDG PET Evaluation of Mucinous Neoplasms: Correlation of FDG Uptake with Histopathologic Features

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