PET/CT Manifestations of Different Pathological Subtypes of Retroperitoneal Liposarcoma

Objective To analyze PET/CT imaging manifestations of different pathological subtypes of retroperitoneal liposarcoma, to explore the application value of PET/CT in retroperitoneal liposarcoma. Methods We included 48 patients diagnosed pathologically as retroperitoneal liposarcoma. According to the c...

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Main Authors: ZHOU Ni'na, LI Nan, WANG Xuejuan, ZHU Hua, FAN Yang, YANG Zhi
Format: Article
Language:zho
Published: Magazine House of Cancer Research on Prevention and Treatment 2018-05-01
Series:Zhongliu Fangzhi Yanjiu
Subjects:
Online Access:http://html.rhhz.net/ZLFZYJ/html/8578.2018.17.1628.htm
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author ZHOU Ni'na
LI Nan
WANG Xuejuan
ZHU Hua
FAN Yang
YANG Zhi
author_facet ZHOU Ni'na
LI Nan
WANG Xuejuan
ZHU Hua
FAN Yang
YANG Zhi
author_sort ZHOU Ni'na
collection DOAJ
description Objective To analyze PET/CT imaging manifestations of different pathological subtypes of retroperitoneal liposarcoma, to explore the application value of PET/CT in retroperitoneal liposarcoma. Methods We included 48 patients diagnosed pathologically as retroperitoneal liposarcoma. According to the classification of WHO2013 soft tissue tumor and FNCCLE criterion, the patients were divided into three groups, G1 group included nine well-differentiated liposarcoma(WDLS), G2 group included seven myxoid liposarcoma (MLS), and G3 group included 29 dedifferentiated liposarcoma (DDLS), two pleomorphic liposarcoma(PLS), and one round cell liposarcoma(RCLS). PET/CT manifestations of different subtypes of retroperitoneal liposarcoma were analyzed. FDG metabolic degree and uniformity among three groups were compared by ANOVA test. Results (1) WDLS showed fat density mass with septa and small nodules, with mild FDG uptake; MLS showed low density mass with mild to moderate FDG uptake, with or without fat; DDLS/PLS/RCLS showed soft tissue mass with high FDG uptake, with or without fat; (2)All lesions had local invasion, without lymph node metastasis; one recurrent DDLS had meditational metastasis; one RCLS had peritoneal metastasis; (3)The mean SUVmax G1 < G2 < G3 (2.6±1.6, 4.6±2.4, 9.8±9.3), there was significant difference between G1 and G3 groups(P < 0.05). Conclusion Different subtypes of retroperitoneal liposarcoma have different PET/CT manifestations. Preoperative PET/CT could accurately show the extent and metastasis of tumor and predict the pathological subtype, which could help the design of surgical scheme.
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spelling doaj.art-3dd292829ab040e5926646f1e1b0a2172022-12-21T20:33:08ZzhoMagazine House of Cancer Research on Prevention and TreatmentZhongliu Fangzhi Yanjiu1000-85781000-85782018-05-0145531631910.3971/j.issn.1000-8578.2018.17.16288578.2018.17.1628PET/CT Manifestations of Different Pathological Subtypes of Retroperitoneal LiposarcomaZHOU Ni'na0LI Nan1WANG Xuejuan2ZHU Hua3FAN Yang4YANG Zhi5Key Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaKey Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaKey Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaKey Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaKey Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaKey Laboratory of Carcinogenesis and Translational Research, Ministry of Education, Department of Nuclear Medicine, Peking University Cancer Hospital & Institute, Beijing 100142, ChinaObjective To analyze PET/CT imaging manifestations of different pathological subtypes of retroperitoneal liposarcoma, to explore the application value of PET/CT in retroperitoneal liposarcoma. Methods We included 48 patients diagnosed pathologically as retroperitoneal liposarcoma. According to the classification of WHO2013 soft tissue tumor and FNCCLE criterion, the patients were divided into three groups, G1 group included nine well-differentiated liposarcoma(WDLS), G2 group included seven myxoid liposarcoma (MLS), and G3 group included 29 dedifferentiated liposarcoma (DDLS), two pleomorphic liposarcoma(PLS), and one round cell liposarcoma(RCLS). PET/CT manifestations of different subtypes of retroperitoneal liposarcoma were analyzed. FDG metabolic degree and uniformity among three groups were compared by ANOVA test. Results (1) WDLS showed fat density mass with septa and small nodules, with mild FDG uptake; MLS showed low density mass with mild to moderate FDG uptake, with or without fat; DDLS/PLS/RCLS showed soft tissue mass with high FDG uptake, with or without fat; (2)All lesions had local invasion, without lymph node metastasis; one recurrent DDLS had meditational metastasis; one RCLS had peritoneal metastasis; (3)The mean SUVmax G1 < G2 < G3 (2.6±1.6, 4.6±2.4, 9.8±9.3), there was significant difference between G1 and G3 groups(P < 0.05). Conclusion Different subtypes of retroperitoneal liposarcoma have different PET/CT manifestations. Preoperative PET/CT could accurately show the extent and metastasis of tumor and predict the pathological subtype, which could help the design of surgical scheme.http://html.rhhz.net/ZLFZYJ/html/8578.2018.17.1628.htmretroperitoneal liposarcomapet/ctmetabolismpathological subtypefnccle grade
spellingShingle ZHOU Ni'na
LI Nan
WANG Xuejuan
ZHU Hua
FAN Yang
YANG Zhi
PET/CT Manifestations of Different Pathological Subtypes of Retroperitoneal Liposarcoma
Zhongliu Fangzhi Yanjiu
retroperitoneal liposarcoma
pet/ct
metabolism
pathological subtype
fnccle grade
title PET/CT Manifestations of Different Pathological Subtypes of Retroperitoneal Liposarcoma
title_full PET/CT Manifestations of Different Pathological Subtypes of Retroperitoneal Liposarcoma
title_fullStr PET/CT Manifestations of Different Pathological Subtypes of Retroperitoneal Liposarcoma
title_full_unstemmed PET/CT Manifestations of Different Pathological Subtypes of Retroperitoneal Liposarcoma
title_short PET/CT Manifestations of Different Pathological Subtypes of Retroperitoneal Liposarcoma
title_sort pet ct manifestations of different pathological subtypes of retroperitoneal liposarcoma
topic retroperitoneal liposarcoma
pet/ct
metabolism
pathological subtype
fnccle grade
url http://html.rhhz.net/ZLFZYJ/html/8578.2018.17.1628.htm
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