Slikovne diagnostične metode za zamejitev bolezni v trebuhu pri bolnikih s pljučnim rakom

Avtorji

  • Mojca Juvan-Žavbi

Ključne besede:

zasevki pljučnega raka, računalniška tomografija (CT), ultrazvočna preiskava (UZ), pozitronska emisijska tomografija (PET), magnetno resonančno slikanje (MRI)

Povzetek

Izhodišča: Večina bolnikov s pljučnim rakom ima razširjeno bolezen že ob postavitvi diagnoze. Natančna ocenitev razširjenosti bolezni je nujna za odločitev o tem, ali bo bolnik zdravljen s kirurško resekcijo, radioterapijo, kemoterapijo ali kombinacijo naštetih metod. Ocena razširjenosti bolezni zunaj prsnega koša, ki naj se rutinsko izvaja pri vseh bolnikih z na novo odkritim pljučnim rakom, je še zlasti pomembna zato, da se izognemo nepotrebni torakotomiji.

Zaključki: Računalniška tomografija (CT) zgornjega dela trebuha je standardna slikovna diagnostična metoda za zamejitev bolezni v trebuhu. V ta namen se pogosto uporablja tudi ultrazvočno preiskavo (UZ) trebuha. Po naših izkušnjah sta metodi medsebojno primerljivi in se tudi dopolnjujeta. Čeprav ima pozitronska emisijska tomografija (PET) primarno vlogo pri zamejitvi bolezni zunaj prsnega koša in se priporoča v ZDA, njeno pravo mesto med vrsto razpoložljivih metod še ni jasno. V Sloveniji s to metodo še nimamo izkušenj. Magnetnoresonančno slikanje (MRI) se uporablja le v posebnih primerih.

Prenosi

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Literatura

Bakke PS, Taule M, Lillo E, Melgren G, Magnussen IJ, Halvorsen OJ. Transcutaneous abdominal ultrasonography in the staging of lung cancer. Thorax 1997; 52: 276–80.

Pompe-Kirn V, Zakotnik B, Zadnik V. Preživetje bolnikov z rakom v Sloveniji 1983–1997: Register raka za Slovenijo. Ljubljana: Onkološki inštitut; 2003.

Kostakoglu L, Agress H, Goldsmith SJ. Clinical role of FDG PET in evaluation of cancer patients. Radiographics 2003; 23: 315– 40.

Toloza EM, Harpole L, McCrory DC. Noninvasive staging of nonsmall cell lung cancer. Chest 2004; 123: 137S–46S.

Bilgin S, Yilmaz A, Ozdemir F, Akkaya E, Karakurt Z, Poluman A. Extrathoracic staging of non-small cell bronchogenic carcinoma: Relationship of the clinical evaluation to organ scans. Respirology 2002; 7: 57.

Patz EE, Erasmus EE, McAdams HP, Connolly JE, Marom EM, Goodman PC, et al. Lung cancer staging and management: Comparison of contrast-enhanced and nonenhanced helical CT of the thorax. Radiology 1999; 212: 56–60.

Albrecht T, Oldenburg A, Hohmann J, Skrok J, Hoffmann CW, Schettler S, et al. Imaging of liver metastases with contrast-specific low-MI real time ultrasound and SonoVue. Eur Radiol 2003; Suppl 3: N79–N86. 8. Delorme S, van Kaick G. Imaging of abdominal nodal spread in malignant disease. Oncology imaging Mini categorical course ECR’97 March 2-7, 1997 Vienna, Austria.

Prauer HW, Helmberger H, Weber W. Diagnosis of bronchial carcinoma. Der Radiologie 1998; 38: 256–62.

Sahani DY, Kalva SP, Fischman AJ, Kadavigere R, Blake M, Hahn PF, Saini S. Detection of liver metastases from adenocarcinoma of the colon and pancreas: comparison of mangafodipir trisodium- enhanced liver MRI and Whole-body FDG PET. AJR 2005; 185: 239–46.

Misciasci T. Noninvasive staging of lung cancer. Rays 2004; 29: 363–71.

Deterbeck FC, Falen S, Rivera MP, Halle JS, Socinski MA. Seeking a home for a PET, Part 2. Chest 2004; 125: 2300–8.

Munden RF, Swisher SS, Stevens CW, Stewart DJ. Imaging of the patient with non-small cell lung cancer. Radiology 2005; 237: 803–18.

Lardinois D, Weder W, Hany TF, Kamel EM, Korom S, Seifert B, et al. Staging of non-small-cell lung cancer with integrated positron- emission tomography and computed tomography. N Engl J Med 2003; 348: 2500–7.

Eberhardt SC, Choi PH, Bach AM, Funt SA, Felderman HE, Hann LE. Utility of sonography for small hepatic lesions found on computed tomography in patients with cancer. J Ultrasound Med 2003; 22: 335–43.

Solbiati L, Tonolini M, Cova L, Goldberg SN. The role of contrastenhanced ultrasound in the detection of focal liver lesions. Eur Radiol 2001; 11 Suppl 3: E15–E26.

Leen E, Moug SJ, Horgan P. Potential impact and utilization of ultrasound contrast media. Eur Radiol 2004; 14 Suppl 8: P16– P24.

Rumack CM, Wilson SR, Charboneau JW. Diagnostic ultrasound. Volume 1. St. Louis: Mosby-Year Book, Inc. 1998.

Haider MA, Amitai MM, Rappaport DC, O’Malley ME, Handbidge AE, Redston M, et al. Multy-detector row helical CT in preoperative assessment of small (≤1.5 cm) liver metastases: Is thinner collimation better? Radiology 2002; 225: 137–42.

Filon E, Kodur E, Cygan M. Ultrasonographic examination of the adrenal glands for detection of lung cancer metastasis. Nowotwory 1989; 39: 157–61.

Karanikiotis C, Tentes AA, Markakidis S, Vafiadis K. Large bilateral adrenal metastases in non-small cell lung cancer. World Journal of Surgical Oncology 2004; 2: 37.

Frilling A, Tecklenborg K, Weber F, Kuhl H, Muller S, Stamatis G, Broelsch C. Importance of adrenal incidentaloma in patients with a history of malignancy. Surgery 2004; 136: 1289–96.

Eggesbo HB, Hansen G. Clinical impact of adrenal expansive lesions in bronchial carcinoma. Acta Radiol 1996; 37: 343–7.

Georg C, Schwerk WB, Wolf M, Havemann K. Adrenal masses in lung cancer: sonographic diagnosis and follow-up. Eur J Cancer 1992; 28A: 1400–3.

Porte HL, Ernst OJ, Delebecq T, Metois D, Lemaitre LG, Wurtz AJ. Is computed tomography guided biopsy still necessary for the diagnosis of adrenal masses in patients with resectable nonsmall- cell lung cancer? Eur J Cardiothorac Surg 1999; 15: 397– 601.

Blake MA, Slattery JMA, Kalra MK, Halpern EF, Fischman AJ, et al. Adrenal lesions: characterization with fused PET/CT image in patients with proved or suspected malignancy-initial experience. Radiology 2006; 238: 970–7.

Bruneton JN, Drouillard J, Laurent F, Normand F, Balu-Maestro O, Rogopoulos A. Imaging of renal metastases. J Radiol 1988; 69: 639–43.

Becker WE, Schellhammer PF. Renal metastases from carcinoma of the lung. Br J Urol 1986; 58: 494–8.

Stebbing J, Smith IE. Small cell lung cancer as a cause of acute renal failure secondary to bilateral renal infiltration. Clin Oncol 2000; 12: 326–7.

Paivanalo M, Tikkakoski T, Merikanto J, Suramo I. Radiologic findings in renal metastases. Actuelle Radiol 1993: 3: 360–5.

Maeni T, Satoh H, Ishikawa H, Yamashita YT, Naito T, Kamma H, et al. Patterns of pancreatic metastasis from lung cancer. Anticancer Res 1998; 18: 2881–4.

Diederich S, Wernecke K, Lohnert J, Paters PE. Pancreatic metastases: sonographic and computed tomography findings. Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr 1993; 158: 325– 31.

Baudghene FP, Deslandes PM, LeBlanche AF, Bigot JM. US and CT imaging features of intrapancreatic metastases. J Comput Assist Tomogr 1994; 18: 905–10.

Mosier DM, Bloch RS, Cunningham PL, Dorman SA. Small bowel metastases from primary lung carcinoma: a rarity waiting to be found? Am Surg 1992; 58: 677–82.

Schmidt BJ, Smith SL. Isolated splenic metastasis from primary lung adenocarcinoma. South Med J 2004; 97: 298–300.

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1.
Slikovne diagnostične metode za zamejitev bolezni v trebuhu pri bolnikih s pljučnim rakom. ZdravVestn [Internet]. 2007 Jun. 18 [cited 2024 Sep. 27];76(6). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/1790

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