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Prognostic Value of the Maximum Standardized Uptake Value on Positron Emission Tomography for Esophageal Squamous Cell Carcinoma.
[esophageal squamous cell carcinoma]
Background
 
Esophageal
cancer
is
a
malignant
tumor
with
one
of
the
worst
prognosis
.
Positron
emission
tomography
(
PET
)
reveals
the
degree
of
metabolic
activity
of
tumor
cells
.
We
hypothesized
that
a
high
maximum
standardized
uptake
value
(
SUVmax
)
on
PET
would
predict
a
poor
clinical
outcome
.
Methods
 
From
November
2004
to
August
2011
,
we
reviewed
88
patients
with
esophageal
squamous
cell
carcinoma
who
underwent
preoperative
PET
followed
by
surgery
.
SUVmax
values
of
primary
sites
were
measured
.
The
patients
were
divided
into
two
groups
with
median
SUVmax
as
a
cutoff
value
and
outcomes
were
compared
.
Results
 
The
median
SUVmax
was
6
.
35
.
Cervical
and
upper
thoracic
cancer
,
large
tumor
size
,
stage
≥
 
T
2
,
and
lymph
node
metastasis
were
significantly
associated
with
the
high
SUVmax
group
.
Cervical
and
upper
thoracic
cancer
(
p
 
=
 
0
.
038
)
,
SUVmax
(
p
 
=
 
0
.
038
)
,
number
of
lymph
nodes
dissected
(
p
 
=
 
0
.
009
)
,
stage
 
≥
 
T
2
(
p
 
=
 
0
.
003
)
,
lymph
node
metastasis
(
p
 
<
 
0
.
001
)
,
and
incomplete
resection
(
p
 
=
 
0
.
031
)
were
significant
predictors
for
the
disease-free
survival
.
A
high
SUVmax
(
 
≥
 
6
.
35
,
p
 
=
 
0
.
023
)
and
stage
 
≥
 
T
2
(
p
 
=
 
0
.
025
)
were
significantly
associated
with
overall
survival
by
multivariate
analysis
.
Conclusion
 
High
preoperative
SUVmax
on
PET
predicts
advanced
T
stage
and
worse
prognosis
.
SUVmax
on
PET
may
provide
useful
information
combined
with
current
stage
for
determining
optimal
treatment
in
esophageal
cancer
.
Diseases
Validation
Diseases presenting
"tumor cells"
symptom
alpha-thalassemia
carcinoma of the gallbladder
cholangiocarcinoma
cushing syndrome
dedifferentiated liposarcoma
dentin dysplasia
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
hodgkin lymphoma, classical
junctional epidermolysis bullosa
kindler syndrome
liposarcoma
lymphangioleiomyomatosis
pleomorphic liposarcoma
primary effusion lymphoma
severe combined immunodeficiency
triple a syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
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