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Incidental anal ^18fluorodeoxyglucose uptake:Should we further examine the patient?

World Journal of Clinical Cases 2020年第17期8卷 3679-3690页

作者： Anne-Sophie Moussaddaq Charlene Brochard Xavier Palard-Novello Etienne Garin Timothee Wallenhorst Eric le Balc’h alexandre merlini l’heritier Thomas Grainville laurent Siproudhis Astrid lievre Department of Gastroenterology University Hospital of RennesPontchaillouRennes 35000France Inphy CIC 1414 University Hospital of Rennes PontchaillouRennes 35000France Department of Nuclear Medicine Cancer Institute Eugène MarquisRennes 35000France laboratoire Traitement du Signal et de l'Image-UMR1099 University of RennesInsermRennes 35000France

BACKGROUND There are no studies on incidental anal ^18F-fluorodeoxyglucose(^18FDG)*** To assess the rate and aetiologies of incidental anal ^18FDG uptake and to evaluate the correlation between ^18FDG positron-emission tomography/computed tomography(PET/CT)parameters and the diagnosis of an anorectal *** The data from patients with incidental anal ^18FDG uptake were retrospectively *** who underwent anorectal examinations were identified and compared to those who did not undergo *** who were offered treatment were then identified and compared to those who did not receive *** Among the 43020^18FDG PET/CT scans performed,197^18FDG PET/CT scans of 146 patients(0.45%)reported incidental anal *** the 134 patients included,48(35.8%)patients underwent anorectal examinations,and anorectal diseases were diagnosed in 33(69.0%)of these patients and treated in ^18/48(37.5%)*** the examined patients,those with a pathology requiring treatment had significantly smaller metabolic volumes(MV)30 and MV41 values and higher maximal and mean standardized uptake value measurements than those who did not require *** Incidental anal ^18FDG uptake is rare,but a reliable anorectal diagnosis is commonly obtained when an anorectal examination is *** diagnosis of an anorectal disease induces treatment in more than one-third of the *** data should encourage practitioners to explore incidental anal ^18FDG uptake systematically.

关键词： Incidental anal^18fluorodeoxyglucose uptake Anorectal disease Rare

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