Author of

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  P1.05 - Interventional Diagnostics/Pulmonology (Not CME Accredited Session) (ID 937)

  • Event: WCLC 2018
  • Type: Poster Viewing in the Exhibit Hall
  • Track:
  • Presentations: 1
  • Moderators:
  • Coordinates: 9/24/2018, 16:45 - 18:00, Exhibit Hall

  • 26486

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    P1.05-12 - ¹⁸F-FDG PET/CT Findings May Predict Postoperative Acute Exacerbation of Interstitial Pneumonia in Lung Cancer Patients (ID 11131)

    16:45 - 18:00  |  Author(s): Fumihiko Hoshi
    • Abstract
    • Slides

    Background
    

    Acute exacerbation could be life-threatening for idiopathic interstitial pneumonia (IIP) patients. It is often challenging to choose a surgical treatment for a patient with IIP associated with lung cancer because lung resection is one of the risk factors of acute exacerbation. The objective of this present study was to investigate the correlation between preoperative findings of ¹⁸F-FDG PET/CT and postoperative acute exacerbation in patients with IIP associated with lung cancer.

    a9ded1e5ce5d75814730bb4caaf49419 Method
    

    We retrospectively reviewed the data of 450 patients who underwent lung resection for non-small cell lung cancer between November 2012 and October 2017. We excluded patients who had preoperative radiotherapy (25 patients) from the analysis. All these patients preoperatively underwent ¹⁸F-FDG PET/CT for staging lung cancer. The maximum standardized uptake value ( was obtained.

    4c3880bb027f159e801041b1021e88e8 Result
    

    CT findings of IIPs were found in 31 out of 425 patients (7.1%). Five out of 31 patients (16.1%) developed acute exacerbation after lung resection. These 5 patients had significantly higher SUVmax in the lesions of IIPs compared 26 patients without postoperative acute exacerbation.

    8eea62084ca7e541d918e823422bd82e Conclusion
    

    This study demonstrated that ¹⁸F-FDG PET/CT findings may predict postoperative acute exacerbation of IIP in lung cancer patients.

    6f8b794f3246b0c1e1780bb4d4d5dc53

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