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沈琳：PET/CT在胃肠道肿瘤诊断与治疗中的应用

2011-10-15 MedSci原创 MedSci原创

沈琳PET/CT胃肠道肿瘤
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　　 　　沈琳教授 　　10月7～9日，由北京大学临床肿瘤学院主办的燕京肿瘤临床与PET/CT应用会议在北京召开。 　　会上，北京肿瘤医院的沈琳教授报告了PET/CT在胃肠道肿瘤诊断与治疗中的应用。 　　关于术前分期 　　沈教授指出，对于胃癌及肠癌，不推荐在术前进行TNM分期时常规使用PET/CT，而结肠癌肝转移患者术前应行PET/CT检查，以避免不必要的手术。 　　关于术后复发 　

　　inserted image

　　沈琳教授

　　10月7～9日，由北京大学临床肿瘤学院主办的燕京肿瘤临床与PET/CT应用会议在北京召开。

　　会上，北京肿瘤医院的沈琳教授报告了PET/CT在胃肠道肿瘤诊断与治疗中的应用。

　　关于术前分期

　　沈教授指出，对于胃癌及肠癌，不推荐在术前进行TNM分期时常规使用PET/CT，而结肠癌肝转移患者术前应行PET/CT检查，以避免不必要的手术。

　　关于术后复发

　　沈教授指出，对于术后不明原因CEA升高及常规检查查出可以病灶的结肠癌患者，应行PET/CT检查，而胃癌患者无应用PET/CT进行术后监测的明确证据。

　　关于疗效评价

　　沈教授指出，化疗引起FDG摄取值降低的程度是患者的预后因素。PET/CT可用于判断射频治疗是否彻底并且早期发现复发灶，可用于判断术前新辅助放/化疗的疗效。

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createdBy=909612335511, createdName=lqvr, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=)]
    2012-01-19 木头人524

    #诊断与治疗#

    0

  2. 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createdBy=909612335511, createdName=lqvr, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=)]
    2012-02-24 年后

    那是拉动放假啦sadfsa速度快fj/;k

    0

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createdBy=909612335511, createdName=lqvr, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=)]
    2012-03-10 chshh89

    #肠道肿瘤#

    0

  4. 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topicList=[TopicDto(id=14074, encryptionId=15e2140e438, topicName=PET)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTI5PdY90y5Jib8FnPhCXTR2d9v3K17epNSwB2eb0vmXUldNJl2e72S4unZTAHLAojicdVSialTDFHAxA/132, createdBy=78d82500042, createdName=ms7514935887898259, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1346166, encodeId=7b721346166fa, content=<a href='/topic/show?id=339e8332035' target=_blank style='color:#2F92EE;'>#胃肠道#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83320, encryptionId=339e8332035, topicName=胃肠道)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e03212, createdName=liao1619, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1419211, encodeId=48aa141921129, content=<a href='/topic/show?id=d61683353f6' target=_blank style='color:#2F92EE;'>#胃肠道肿瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83353, encryptionId=d61683353f6, topicName=胃肠道肿瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d0023488232, createdName=charleshjw, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532446, encodeId=37711532446e9, content=<a href='/topic/show?id=900e83101a4' target=_blank style='color:#2F92EE;'>#肿瘤诊断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83101, encryptionId=900e83101a4, topicName=肿瘤诊断)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=909612335511, createdName=lqvr, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=)]
    2011-11-17 feather89

    #PE#

    0

  5. 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topicList=[TopicDto(id=14074, encryptionId=15e2140e438, topicName=PET)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTI5PdY90y5Jib8FnPhCXTR2d9v3K17epNSwB2eb0vmXUldNJl2e72S4unZTAHLAojicdVSialTDFHAxA/132, createdBy=78d82500042, createdName=ms7514935887898259, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1346166, encodeId=7b721346166fa, content=<a href='/topic/show?id=339e8332035' target=_blank style='color:#2F92EE;'>#胃肠道#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83320, encryptionId=339e8332035, topicName=胃肠道)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e03212, createdName=liao1619, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1419211, encodeId=48aa141921129, content=<a href='/topic/show?id=d61683353f6' target=_blank style='color:#2F92EE;'>#胃肠道肿瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83353, encryptionId=d61683353f6, topicName=胃肠道肿瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d0023488232, createdName=charleshjw, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532446, encodeId=37711532446e9, content=<a href='/topic/show?id=900e83101a4' target=_blank style='color:#2F92EE;'>#肿瘤诊断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83101, encryptionId=900e83101a4, topicName=肿瘤诊断)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=909612335511, createdName=lqvr, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=)]
    2011-10-17 chaojitidian

    #PET/CT#

    0

  6. 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createdBy=f06c33759375, createdName=feather89, createdTime=Thu Nov 17 20:38:00 CST 2011, time=2011-11-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1309656, encodeId=62f213096560f, content=<a href='/topic/show?id=412114080d1' target=_blank style='color:#2F92EE;'>#PET/CT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14080, encryptionId=412114080d1, topicName=PET/CT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=295c372, createdName=chaojitidian, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1331003, encodeId=2e511331003d6, content=<a href='/topic/show?id=15e2140e438' target=_blank style='color:#2F92EE;'>#PET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14074, encryptionId=15e2140e438, topicName=PET)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTI5PdY90y5Jib8FnPhCXTR2d9v3K17epNSwB2eb0vmXUldNJl2e72S4unZTAHLAojicdVSialTDFHAxA/132, createdBy=78d82500042, createdName=ms7514935887898259, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1346166, encodeId=7b721346166fa, content=<a href='/topic/show?id=339e8332035' target=_blank style='color:#2F92EE;'>#胃肠道#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83320, encryptionId=339e8332035, topicName=胃肠道)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e03212, createdName=liao1619, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1419211, encodeId=48aa141921129, content=<a href='/topic/show?id=d61683353f6' target=_blank style='color:#2F92EE;'>#胃肠道肿瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83353, encryptionId=d61683353f6, topicName=胃肠道肿瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d0023488232, createdName=charleshjw, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532446, encodeId=37711532446e9, content=<a href='/topic/show?id=900e83101a4' target=_blank style='color:#2F92EE;'>#肿瘤诊断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83101, encryptionId=900e83101a4, topicName=肿瘤诊断)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=909612335511, createdName=lqvr, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=)]
    2011-10-17 ms7514935887898259

    #PET#

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1718998, encodeId=5b2f1e18998c7, content=<a href='/topic/show?id=e32e915e89c' target=_blank style='color:#2F92EE;'>#诊断与治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=91578, encryptionId=e32e915e89c, topicName=诊断与治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=85a832689492, createdName=木头人524, createdTime=Thu Jan 19 20:38:00 CST 2012, time=2012-01-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=4056, encodeId=a95d405694, content=那是拉动放假啦sadfsa速度快fj/;k, beContent=null, objectType=article, channel=null, level=null, likeNumber=150, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=年后, createdTime=Fri Feb 24 19:09:00 CST 2012, time=2012-02-24, status=1, ipAttribution=), 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createdBy=f06c33759375, createdName=feather89, createdTime=Thu Nov 17 20:38:00 CST 2011, time=2011-11-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1309656, encodeId=62f213096560f, content=<a href='/topic/show?id=412114080d1' target=_blank style='color:#2F92EE;'>#PET/CT#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14080, encryptionId=412114080d1, topicName=PET/CT)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=295c372, createdName=chaojitidian, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1331003, encodeId=2e511331003d6, content=<a href='/topic/show?id=15e2140e438' target=_blank style='color:#2F92EE;'>#PET#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14074, encryptionId=15e2140e438, topicName=PET)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTI5PdY90y5Jib8FnPhCXTR2d9v3K17epNSwB2eb0vmXUldNJl2e72S4unZTAHLAojicdVSialTDFHAxA/132, createdBy=78d82500042, createdName=ms7514935887898259, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1346166, encodeId=7b721346166fa, content=<a href='/topic/show?id=339e8332035' target=_blank style='color:#2F92EE;'>#胃肠道#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83320, encryptionId=339e8332035, topicName=胃肠道)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e03212, createdName=liao1619, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1419211, encodeId=48aa141921129, content=<a href='/topic/show?id=d61683353f6' target=_blank style='color:#2F92EE;'>#胃肠道肿瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83353, encryptionId=d61683353f6, topicName=胃肠道肿瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d0023488232, createdName=charleshjw, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532446, encodeId=37711532446e9, content=<a href='/topic/show?id=900e83101a4' target=_blank style='color:#2F92EE;'>#肿瘤诊断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83101, encryptionId=900e83101a4, topicName=肿瘤诊断)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=909612335511, createdName=lqvr, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=)]
    2011-10-17 liao1619

    #胃肠道#

    0

  8. 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GetPortalCommentsPageByObjectIdResponse(id=1419211, encodeId=48aa141921129, content=<a href='/topic/show?id=d61683353f6' target=_blank style='color:#2F92EE;'>#胃肠道肿瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83353, encryptionId=d61683353f6, topicName=胃肠道肿瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d0023488232, createdName=charleshjw, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532446, encodeId=37711532446e9, content=<a href='/topic/show?id=900e83101a4' target=_blank style='color:#2F92EE;'>#肿瘤诊断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83101, encryptionId=900e83101a4, topicName=肿瘤诊断)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=909612335511, createdName=lqvr, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=)]
    2011-10-17 charleshjw

    #胃肠道肿瘤#

    0

  9. 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GetPortalCommentsPageByObjectIdResponse(id=1419211, encodeId=48aa141921129, content=<a href='/topic/show?id=d61683353f6' target=_blank style='color:#2F92EE;'>#胃肠道肿瘤#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83353, encryptionId=d61683353f6, topicName=胃肠道肿瘤)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=d0023488232, createdName=charleshjw, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532446, encodeId=37711532446e9, content=<a href='/topic/show?id=900e83101a4' target=_blank style='color:#2F92EE;'>#肿瘤诊断#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83101, encryptionId=900e83101a4, topicName=肿瘤诊断)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=909612335511, createdName=lqvr, createdTime=Mon Oct 17 14:38:00 CST 2011, time=2011-10-17, status=1, ipAttribution=)]
    2011-10-17 lqvr

    #肿瘤诊断#

    0

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