PET-CT changes the management and improves outcome in patients with recurrent colorectal cancer

dc.contributor.authorTural, Deniz
dc.contributor.authorSelçukbiricik, Fatih
dc.contributor.authorSağer, Sait
dc.contributor.authorAkar, Emre
dc.contributor.authorYıldız, Özcan
dc.contributor.authorSerdengeçti, Süheyla
dc.date.accessioned2020-06-24T15:57:37Z
dc.date.available2020-06-24T15:57:37Z
dc.date.issued2014
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground: The present study aims to analyze the impact of positron emission tomography/computed tomography (PET/CT) on management change in patients with suspected or proven colorectal cancer recurrence, and to assess the effect of this management change on progression-free survival (PFS) and overall survival (OS). Materials and Methods: We retrospectively evaluated 122 patients with suspected potentially resectable recurrent colorectal cancer who underwent PET/CT scan. We determined management plans for these patients before and after the PET/CT examination. Results: While previous conventional imaging studies had revealed solitary metastases, additional sites of disease were determined by PET/CT scan in 52/122 (42%) patients. PET/CT examination results changed the treatment plan to curative intent in 35 (37%) patients. While the median PFS was 22 months (95% CI, 11.2-32.6 months) among the patients planned to receive curative treatment after the PET/CT scan, it was 11 months (95% CI, 8.1-13.9 months) in patients planned to receive curative treatment before the PET/CT examination, and the difference between median PFS durations was statistically significant (HR, 0.51 [95% CI, 0.32 - 0.88], P = 0.004). Furthermore, OS was significantly longer in patients planned to receive curative treatment after the PET/CT scan (27 months [95% CI, 22.1-31.9]) compared with those who received curative treatment before the PET/CT scan (21 months [95% CI, 15.6 - 26.4]), and the difference was statistically significant (HR, 0.63 [95% CI, 0.42 - 0.89], P = 0.045). Conclusion: The present study demonstrates the significant impact of PET/CT on the management and outcome in patients with recurrent colorectal cancer.
dc.identifier.citationTural, D., Selçukbiricik, F., Sağer, S., Akar, E., Yıldız, Ö. ve Serdengeçti, S. (2014). PET-CT changes the management and improves outcome in patients with recurrent colorectal cancer. Journal of Cancer Research and Therapeutics, 10(1), 121-126. https://dx.doi.org/10.4103/0973-1482.131445
dc.identifier.doi10.4103/0973-1482.131445
dc.identifier.endpage126
dc.identifier.issn0973-1482
dc.identifier.issn1998-4138
dc.identifier.issue1
dc.identifier.scopusqualityQ3
dc.identifier.startpage121
dc.identifier.urihttps://hdl.handle.net/20.500.12511/5298
dc.identifier.urihttps://dx.doi.org/10.4103/0973-1482.131445
dc.identifier.volume10
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMedknow Publications
dc.relation.ispartofJournal of Cancer Research and Therapeuticsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectImproved Outcome
dc.subjectManagement Change
dc.subjectRecurrent Colorectal Cancer
dc.subjectPositron Emission Tomography/Computed Tomography Scan
dc.titlePET-CT changes the management and improves outcome in patients with recurrent colorectal cancer
dc.typeArticle

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