Mu Dian-bin, Wang Shao-ping, Yang Wen-feng, Fu Zheng, Chen Xu-xia, Sun Xiao-rong, Yu Jin-ming
Department of Pathology, Shandong Cancer Hospital, Jinan 250117, China.
Zhonghua Zhong Liu Za Zhi. 2007 Jan;29(1):30-3.
To evaluate the correlation between standardized uptake valus (SUV) of 18F-fluorodeoxyglucose (18 F-FDG) of tumor at PET/CT examination and the expression of glucose transporter-1 (Glutl) and Ki-67 in esophageal cancer.
56 patients with esophageal cancer were evaluated with 18 F-FDG PET/CT examination before operation. The expression of Glut1 and Ki-67 antigen in the tumor tissues was detected by immunohistochemistry after operation.
(1) Positive rate of Glutl and Ki-67 expression in esophageal cancer tissues was 100% , respectively. There was a positive correlation between the expression of Glutl and Ki-67 and the clinical stages and differentiation of the tumor. The more the tumor and the clinical stages were advanced and the lower was the tumor differentiation, the more Glutl and Ki-67 were expressed. (2) There were abnormal radioactive high uptake regions on PET/CT imaging of esophagus in the 56 patients, which were confirmed by pathology as the primary carcinoma. The SUV was higher than 2. 5. There was a gradually increasing tendency in SUV along with the lowering of the tumor differentiation and the advance of clinical stages. (3)There was a correlation between the expression of Glutl, Ki-67 and the SUV, the more Glutl and Ki-67 were expressed, the higher the SUV of tumor 18F-FDG at PET/CT examination was in esophageal tumor tissues.
There is a widespread expression of Glutl in esophageal cancer tissues, and the SUV may be used to indirectly evaluate the proliferative capacity of esophageal cancer.
评估正电子发射断层显像/计算机断层扫描(PET/CT)检查中肿瘤的18F-氟脱氧葡萄糖(18F-FDG)标准化摄取值(SUV)与食管癌中葡萄糖转运蛋白-1(Glut1)和Ki-67表达之间的相关性。
56例食管癌患者在手术前行18F-FDG PET/CT检查。术后通过免疫组织化学检测肿瘤组织中Glut1和Ki-67抗原的表达。
(1)食管癌组织中Glut1和Ki-67表达的阳性率均为100%。Glut1和Ki-67的表达与肿瘤的临床分期及分化程度呈正相关。肿瘤及临床分期越晚、肿瘤分化程度越低,Glut1和Ki-67的表达越多。(2)56例患者食管的PET/CT影像上均有异常放射性高摄取区,经病理证实为原发性癌。SUV高于2.5。随着肿瘤分化程度降低和临床分期进展,SUV呈逐渐升高趋势。(3)Glut1、Ki-67的表达与SUV之间存在相关性,在食管肿瘤组织中,Glut1和Ki-67表达越多,PET/CT检查时肿瘤18F-FDG的SUV越高。
Glut1在食管癌组织中广泛表达,SUV可用于间接评估食管癌的增殖能力。