Skip to main content
Erschienen in: Lung 4/2016

14.06.2016

Primary Sarcomatoid Carcinoma of the Lung: Radiometabolic (18F-FDG PET/CT) Findings and Correlation with Clinico-Pathological and Survival Results

verfasst von: Cristian Rapicetta, Filippo Lococo, Alessandro Stefani, Giulio Rossi, Tommaso Ricchetti, Angelina Filice, Antonella Franceschetto, Giorgio Treglia, Massimiliano Paci

Erschienen in: Lung | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Abstract

Introduction

Pulmonary sarcomatoid carcinoma (PSC) is a very rare and uninvestigated subtype of non-small cell lung cancer (NSCLC).

Methods

The aims of this study were to define the radiometabolic features (by 18F-FDG PET/CT) in a bi-centric cohort of 49 PSC patients and to explore their relation with clinico-pathological characteristics and long-term survival results after surgical treatment.

Results

There were 40 males and 9 females aged 65.2 ± 10.47 years. Overall long-term survival was 26.7 % at 5 years. Mean and median values of SUVmax were 15.21 and 15, respectively (SD ±5.5). Performing an age-, gender- and staging-matched analysis comparing PSC Stage-I only with a cohort of Stage-I NSCLC (n = 93), we observed significantly higher SUVmax values in PSC group (15.11 vs 7.66, p = 0.001).

Conclusions

No differences in terms of SUVmax were found with regard to tumour dimensions, histology (pure vs mixed, pleomorphic vs others), pathological stage and pattern of recurrence. P-stage, surgical radicality, vascular/lymphatic invasion but not SUVmax affected long-term survival in PSC.
Literatur
2.
Zurück zum Zitat Lin Y, Yang H, Cai Q et al (2016) Characteristics and prognostic analysis of 69 patients with pulmonary sarcomatoid carcinoma. Am J Clin Oncol 39(3):215–222CrossRefPubMed Lin Y, Yang H, Cai Q et al (2016) Characteristics and prognostic analysis of 69 patients with pulmonary sarcomatoid carcinoma. Am J Clin Oncol 39(3):215–222CrossRefPubMed
4.
Zurück zum Zitat Lococo F, Gandolfi G, Rossi G, Pinto C, Rapicetta C, Cavazza A, Cesario A, Galeone C, Paci M, Ciarrocchi A (2016) Deep-sequencing analysis reveals that KRAS mutation is a marker of poor prognosis in pulmonary sarcomatoid carcinoma patients. J Thorac Oncol. doi:10.1016/j.jtho.2016.04.020 PubMed Lococo F, Gandolfi G, Rossi G, Pinto C, Rapicetta C, Cavazza A, Cesario A, Galeone C, Paci M, Ciarrocchi A (2016) Deep-sequencing analysis reveals that KRAS mutation is a marker of poor prognosis in pulmonary sarcomatoid carcinoma patients. J Thorac Oncol. doi:10.​1016/​j.​jtho.​2016.​04.​020 PubMed
5.
Zurück zum Zitat Grootjans W, de Geus-Oei LF, Troost EG et al (2015) PET in the management of locally advanced and metastatic NSCLC. Nat Rev Clin Oncol 12(7):395–407CrossRefPubMed Grootjans W, de Geus-Oei LF, Troost EG et al (2015) PET in the management of locally advanced and metastatic NSCLC. Nat Rev Clin Oncol 12(7):395–407CrossRefPubMed
6.
Zurück zum Zitat Liu J, Dong M, Sun X et al (2016) Prognostic value of 18F-FDG PET/CT in surgical non-small cell lung cancer: a meta-analysis. PLoS One 11(1):e0146195CrossRefPubMedPubMedCentral Liu J, Dong M, Sun X et al (2016) Prognostic value of 18F-FDG PET/CT in surgical non-small cell lung cancer: a meta-analysis. PLoS One 11(1):e0146195CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Szkorupa M, Bohanes T, Neoral C et al (2015) Sarcomatoid carcinoma of the lung-a case report. Klin Onkol 28(1):57–60CrossRefPubMed Szkorupa M, Bohanes T, Neoral C et al (2015) Sarcomatoid carcinoma of the lung-a case report. Klin Onkol 28(1):57–60CrossRefPubMed
8.
Zurück zum Zitat Zhang Y, Li B, Shi H et al (2015) Sarcomatoid carcinoma of the lung mimics aspergilloma on (18)F-FDG PET/CT. Hell J Nucl Med 18(3):268–270PubMed Zhang Y, Li B, Shi H et al (2015) Sarcomatoid carcinoma of the lung mimics aspergilloma on (18)F-FDG PET/CT. Hell J Nucl Med 18(3):268–270PubMed
9.
Zurück zum Zitat Ciarallo A, Makis W, Novales-Diaz JA et al (2012) Sarcomatoid carcinoma (carcinosarcoma) of the lung mimics malignant pleural mesothelioma on 18F-FDG PET/CT: a report of 2 cases. Clin Nucl Med 37(4):416–419CrossRefPubMed Ciarallo A, Makis W, Novales-Diaz JA et al (2012) Sarcomatoid carcinoma (carcinosarcoma) of the lung mimics malignant pleural mesothelioma on 18F-FDG PET/CT: a report of 2 cases. Clin Nucl Med 37(4):416–419CrossRefPubMed
10.
Zurück zum Zitat Chuang TL, Lai CL, Chang SM et al (2012) Pulmonary carcinosarcoma: 18F-FDG PET/CT imaging. Clin Nucl Med 37:1105–1107CrossRefPubMed Chuang TL, Lai CL, Chang SM et al (2012) Pulmonary carcinosarcoma: 18F-FDG PET/CT imaging. Clin Nucl Med 37:1105–1107CrossRefPubMed
11.
Zurück zum Zitat Lococo F, Perotti G, Cardillo G et al (2015) Multicenter comparison of 18F-FDG and 68 Ga-DOTA-peptide PET/CT for pulmonary carcinoid. Clin Nucl Med 40(3):e183–e189CrossRefPubMed Lococo F, Perotti G, Cardillo G et al (2015) Multicenter comparison of 18F-FDG and 68 Ga-DOTA-peptide PET/CT for pulmonary carcinoid. Clin Nucl Med 40(3):e183–e189CrossRefPubMed
12.
Zurück zum Zitat Makris NE, Huisman MC, Kinahan PE et al (2013) Evaluation of strategies towards harmonization of FDG PET/CT studies in multicentre trials: comparison of scanner validation phantoms and data analysis procedures. Eur J Nucl Med Mol Imaging 40:1507–1515CrossRefPubMed Makris NE, Huisman MC, Kinahan PE et al (2013) Evaluation of strategies towards harmonization of FDG PET/CT studies in multicentre trials: comparison of scanner validation phantoms and data analysis procedures. Eur J Nucl Med Mol Imaging 40:1507–1515CrossRefPubMed
13.
Zurück zum Zitat Al-Sarraf N, Gately K, Lucey J et al (2008) Clinical implication and prognostic significance of standardised uptake value of primary non-small cell lung cancer on positron emission tomography: analysis of 176 cases. Eur J Cardiothorac Surg 34(4):892–897. doi:10.1016/j.ejcts.2008.07.023 CrossRefPubMed Al-Sarraf N, Gately K, Lucey J et al (2008) Clinical implication and prognostic significance of standardised uptake value of primary non-small cell lung cancer on positron emission tomography: analysis of 176 cases. Eur J Cardiothorac Surg 34(4):892–897. doi:10.​1016/​j.​ejcts.​2008.​07.​023 CrossRefPubMed
14.
Zurück zum Zitat Paesmans M, Garcia C, Wong CO et al (2015) Primary tumour standardised uptake value is prognostic in non-small cell lung cancer: a multivariate pooled analysis of individual data. Eur Respir J 46(6):1751–1761CrossRefPubMed Paesmans M, Garcia C, Wong CO et al (2015) Primary tumour standardised uptake value is prognostic in non-small cell lung cancer: a multivariate pooled analysis of individual data. Eur Respir J 46(6):1751–1761CrossRefPubMed
15.
Zurück zum Zitat Berghmans T, Dusart M, Paesmans M et al (2008) European Lung Cancer Working Party for the IASLC Lung Cancer Staging Project. Primary tumor standardized uptake value (SUVmax) measured on fluorodeoxyglucose positron emission tomography (FDG-PET) is of prognostic value for survival in non-small cell lung cancer (NSCLC): a systematic review and meta-analysis (MA) by the European Lung Cancer Working Party for the IASLC Lung Cancer Staging Project. J Thorac Oncol 3(1):6–12. doi:10.1097/JTO.0b013e31815e6d6b CrossRefPubMed Berghmans T, Dusart M, Paesmans M et al (2008) European Lung Cancer Working Party for the IASLC Lung Cancer Staging Project. Primary tumor standardized uptake value (SUVmax) measured on fluorodeoxyglucose positron emission tomography (FDG-PET) is of prognostic value for survival in non-small cell lung cancer (NSCLC): a systematic review and meta-analysis (MA) by the European Lung Cancer Working Party for the IASLC Lung Cancer Staging Project. J Thorac Oncol 3(1):6–12. doi:10.​1097/​JTO.​0b013e31815e6d6b​ CrossRefPubMed
Metadaten
Titel
Primary Sarcomatoid Carcinoma of the Lung: Radiometabolic (18F-FDG PET/CT) Findings and Correlation with Clinico-Pathological and Survival Results
verfasst von
Cristian Rapicetta
Filippo Lococo
Alessandro Stefani
Giulio Rossi
Tommaso Ricchetti
Angelina Filice
Antonella Franceschetto
Giorgio Treglia
Massimiliano Paci
Publikationsdatum
14.06.2016
Verlag
Springer US
Erschienen in
Lung / Ausgabe 4/2016
Print ISSN: 0341-2040
Elektronische ISSN: 1432-1750
DOI
https://doi.org/10.1007/s00408-016-9904-1

Weitere Artikel der Ausgabe 4/2016

Lung 4/2016 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.