目的探讨乳腺癌18F-脱氧葡萄糖(18F-FDG)摄取值与临床病理及生物指标的关联。方法回顾性分析20例乳腺癌患者的18F-FIX;最大标准摄取值(SUVmax)与肿瘤大小、病理分级、雌激素受体(ER)、孕激素受体(PR)、人类表皮生长因子受体2(Her-2)和Ki-67表达之间的关系。结果瘤体直径与SUVmax值呈正相关(r=0.704,P〈0.05)。13例高分化患者SUVmax值低于7例低分化患者(4.68±2.05vs.8.63±3.98)(P〈O.05)。ER、PR和Her-2表达水平与SUVmax值无相关性(r=-0.092,r=-0.010和r=0.341,P〉0.05),Ki-67表达水平与SUVmax值密切相关(r=0.483,P〈0.05)。结论乳腺癌的病灶大小、病理分级和Ki-67表达与18F-FDG摄取值密切相关;SUVmax在预后评估中有一定的临床应用价值。
Objective To investigate the relationship between the uptake value of 18 F fluorodeoxyglucose(18F-FDG) and clinicaopathology and biological indicators in the patients with breast cancer. Methods The relationship of the maximum standandized uptake value (SUVmax) of 18F-FDG with tumor size, tumor grade and expressions of estrogen receptor (ER), progesterone receptor(PR) ,human epidermal receptor 2 (Her-2) and Ki-67 in 20 patients with breast cancer were retrospectively analyzed. Results SUV was positively correlated to the tumor diameter(r=0. 704, P〈0. 05). SUVmax was higher in 13 patients with high differentiation than that in in 7 patients with low differentiation (4. 68 ± 2.05 vs. 8.63 ± 3. 98) ( P(0. 05 ). There was no significant correlation between SUV,±x and the expressions of ER, PR and Her-2 (r=-0. 092, r=-0. 010 and r=0. 341, P〉0. 05). The expression of Ki-67 was closely related to SUVmax (r=0. 483, P〈0. 05). Conclusion The uptake value of 18F-FIX; is closely associated with tumor size, tumor grade and Ki-67 expression in patients with breast cancer. SUVmax can be taken as an indicator in evaluating the clinical prognosis of breast cancer.