Yıl: 2023 Cilt: 32 Sayı: 1 Sayfa Aralığı: 8 - 12 Metin Dili: İngilizce DOI: 10.4274/mirt.galenos.2022.20082 İndeks Tarihi: 25-05-2023

Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically

Öz:
Objectives: Regular follow-up of patients with lung cancer treated surgically is crucial to detect local recurrence or distant metastasis of the tumor. Postoperative follow-ups are performed with thorax computed tomography (CT) and, if necessary, positron emission tomography (PET)/ CT. Sometimes, inflammatory tissue reactions due to the materials used during the surgery for hemostasis may cause the appearance of tumor recurrence in imaging modalities. In this study, we presented that oxidized regenerated cellulose (ORC) used intraoperatively may cause false tumor recurrence on PET/CT. Methods: The records of patients who had local tumor recurrence after lung cancer surgery was reviewed retrospectively. Inclusion criteria were the presence of local recurrence of cancer on PET/CT, specification of using ORC in the surgical notes, and histopathological diagnosis of the recurrence site of tumor was reported as a foreign body reaction. Data of patients were collected according to age, gender, surgery performed, adjuvant therapy status, resolution status and time ORC, and standard uptake value of 18F-fluorodeoxyglucose on PET/CT. Results: Eleven patients (1 female, 10 males) who met the criteria were included in the study. The median age was 64. Histopathological results of all patients were reported as foreign body reactions. The median detection time of PET/CT positivity after surgery was 139 days (range: 52-208 days). False tumor recurrence was resolved in 8 patients (72.7%) in their control radiological examinations and median resolution time was 334 days (range: 222-762 days). The median maximum standard uptake value of the lesions was 6.2 (1.7-11) on the PET/CT. Conclusion: ORC used intraoperatively in patients undergoing surgery for lung cancer may cause false tumor recurrence in imaging modalities in postsurgical follow-ups. When tumor recurrence is suspected in the follow-up of these patients, histopathological confirmation is necessary to prevent unnecessary operations and treatments.
Anahtar Kelime:

Cerrahi Olarak Tedavi Edilen Akciğer Kanserlerinde Okside Rejenere Selüloz, PET/BT’de Yalancı Tümör Nüksünün Bir Sebebi Olabilir

Öz:
Amaç: Cerrahi olarak tedavi edilen akciğer kanserli hastaların düzenli takibi, lokal nüks ve uzak metastaz saptanmasında oldukça önemlidir. Postoperatif takipler toraks bilgisayarlı tomografi (BT) ve gerekirse pozitron emisyon tomografisi (PET)/BT ile yapılır. Bazen hemostaz sağlamak için ameliyat sırasında kullanılan materyallere bağlı enflamatuvar doku reaksiyonları görüntüleme modalitelerinde tümör nüksü görünümüne neden olabilir. Bu çalışmada intraoperatif kullanılan oksitlenmiş rejenere selülozun (ORS), PET/BT’de yalancı tümör nüksüne neden olabileceğini göstermeyi amaçladık. Yöntem: Akciğer kanseri cerrahisi sonrası lokal tümör nüksü gelişen hastaların kayıtları geriye dönük olarak incelendi. Dahil edilme kriterleri, PET/ BT’de lokal kanser nüksü varlığı, cerrahi notlarda ORS kullanımının belirtilmesi ve tümörün nüks bölgesinin histopatolojik tanısının yabancı cisim reaksiyonu olarak bildirilmesiydi. Hastalara ait yaş, cinsiyet, yapılan cerrahi, adjuvan tedavi durumu, rezolüsyon durumu ve ORC süresi ve PET/ BT’deki 18F-florodeoksiglukoz standart uptake değeri verileri toplandı. Bulgular: Kriterleri karşılayan 11 hasta (1 kadın, 10 erkek) çalışmaya dahil edildi. Ortanca yaş 64 idi. Tüm hastaların histopatolojik raporları yabancı cisim reaksiyonu olarak rapor edildi. Ameliyattan sonra PET/BT pozitifliğinin ortanca tespit süresi 139 gündü (dağılım: 52-208 gün). Kontrol radyolojik incelemelerinde 8 hastada (%72,7) tümör görünümü düzeldi ve ortanca iyileşme süresi 334 gündü (dağılım: 222-762 gün). PET/BT’de lezyonların ortanca maksimum standard tutulum değeri 6,2 idi (dağılım: 1,7-11). Sonuç: Cerrahi olarak tedavi edilen akciğer kanserli hastaların takibinde tümör nüksünden şüphelenildiğinde, gereksiz operasyon ve tedavileri önlemek için histopatolojik doğrulama gereklidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Sayan M, Celik A, Satir turk M, Özkan D, Akarsu I, YAZICI O, Aydos U, Yılmaz Demirci N, Akyol G, KURUL I, Tastepe A (2023). Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically. , 8 - 12. 10.4274/mirt.galenos.2022.20082
Chicago Sayan Muhammet,Celik Ali,Satir turk Merve,Özkan Dilvin,Akarsu IRMAK,YAZICI Ozan,Aydos Uguray,Yılmaz Demirci Nilgün,Akyol Gülen,KURUL ISMAIL CÜNEYT,Tastepe Abdullah Irfan Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically. (2023): 8 - 12. 10.4274/mirt.galenos.2022.20082
MLA Sayan Muhammet,Celik Ali,Satir turk Merve,Özkan Dilvin,Akarsu IRMAK,YAZICI Ozan,Aydos Uguray,Yılmaz Demirci Nilgün,Akyol Gülen,KURUL ISMAIL CÜNEYT,Tastepe Abdullah Irfan Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically. , 2023, ss.8 - 12. 10.4274/mirt.galenos.2022.20082
AMA Sayan M,Celik A,Satir turk M,Özkan D,Akarsu I,YAZICI O,Aydos U,Yılmaz Demirci N,Akyol G,KURUL I,Tastepe A Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically. . 2023; 8 - 12. 10.4274/mirt.galenos.2022.20082
Vancouver Sayan M,Celik A,Satir turk M,Özkan D,Akarsu I,YAZICI O,Aydos U,Yılmaz Demirci N,Akyol G,KURUL I,Tastepe A Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically. . 2023; 8 - 12. 10.4274/mirt.galenos.2022.20082
IEEE Sayan M,Celik A,Satir turk M,Özkan D,Akarsu I,YAZICI O,Aydos U,Yılmaz Demirci N,Akyol G,KURUL I,Tastepe A "Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically." , ss.8 - 12, 2023. 10.4274/mirt.galenos.2022.20082
ISNAD Sayan, Muhammet vd. "Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically". (2023), 8-12. https://doi.org/10.4274/mirt.galenos.2022.20082
APA Sayan M, Celik A, Satir turk M, Özkan D, Akarsu I, YAZICI O, Aydos U, Yılmaz Demirci N, Akyol G, KURUL I, Tastepe A (2023). Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically. Molecular Imaging and Radionuclide Therapy, 32(1), 8 - 12. 10.4274/mirt.galenos.2022.20082
Chicago Sayan Muhammet,Celik Ali,Satir turk Merve,Özkan Dilvin,Akarsu IRMAK,YAZICI Ozan,Aydos Uguray,Yılmaz Demirci Nilgün,Akyol Gülen,KURUL ISMAIL CÜNEYT,Tastepe Abdullah Irfan Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically. Molecular Imaging and Radionuclide Therapy 32, no.1 (2023): 8 - 12. 10.4274/mirt.galenos.2022.20082
MLA Sayan Muhammet,Celik Ali,Satir turk Merve,Özkan Dilvin,Akarsu IRMAK,YAZICI Ozan,Aydos Uguray,Yılmaz Demirci Nilgün,Akyol Gülen,KURUL ISMAIL CÜNEYT,Tastepe Abdullah Irfan Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically. Molecular Imaging and Radionuclide Therapy, vol.32, no.1, 2023, ss.8 - 12. 10.4274/mirt.galenos.2022.20082
AMA Sayan M,Celik A,Satir turk M,Özkan D,Akarsu I,YAZICI O,Aydos U,Yılmaz Demirci N,Akyol G,KURUL I,Tastepe A Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically. Molecular Imaging and Radionuclide Therapy. 2023; 32(1): 8 - 12. 10.4274/mirt.galenos.2022.20082
Vancouver Sayan M,Celik A,Satir turk M,Özkan D,Akarsu I,YAZICI O,Aydos U,Yılmaz Demirci N,Akyol G,KURUL I,Tastepe A Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically. Molecular Imaging and Radionuclide Therapy. 2023; 32(1): 8 - 12. 10.4274/mirt.galenos.2022.20082
IEEE Sayan M,Celik A,Satir turk M,Özkan D,Akarsu I,YAZICI O,Aydos U,Yılmaz Demirci N,Akyol G,KURUL I,Tastepe A "Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically." Molecular Imaging and Radionuclide Therapy, 32, ss.8 - 12, 2023. 10.4274/mirt.galenos.2022.20082
ISNAD Sayan, Muhammet vd. "Oxidized Regenerated Cellulose can be a Cause of False Tumor Recurrence on PET/CT in Patients with Lung Cancer Treated Surgically". Molecular Imaging and Radionuclide Therapy 32/1 (2023), 8-12. https://doi.org/10.4274/mirt.galenos.2022.20082