Revista: | Revista médica de Chile |
Base de datos: | PERIÓDICA |
Número de sistema: | 000448933 |
ISSN: | 0034-9887 |
Autores: | Lissarrague, Eugenia Fregeiro, María Sol Binstok, Yemile Barla, Camila Cavani, Manuel Frachia, Felipe Ranero, Sabrina1 Servente, Liliana1 Riva, Eloísa1 |
Instituciones: | 1Universidad de la República, Hospital de Clínicas Dr. Manuel Quintela, Montevideo. Uruguay |
Año: | 2022 |
Volumen: | 150 |
Número: | 2 |
Paginación: | 199-205 |
País: | Chile |
Idioma: | Español |
Tipo de documento: | Artículo |
Enfoque: | Aplicado, descriptivo |
Resumen en inglés | Background: 18F-fluorodesoxyglucose positron emission tomography/ computed tomography (PET-CT) has a high sensitivity and specificity to detect medullary and extramedullary lesions in multiple myeloma (MM). Aim: To describe the findings of PET-CT in extramedullary multiple myeloma (EMM) at diagnosis and at relapse, and correlate its results with clinical variables, response to treatment and survival. Materials and Methods: Review of medical records and PET-CT reports of 39 patients with multiple myeloma (MM) who had at least one PET-CT study, treated between January 1, 2015, and January 1, 2019 at a clinical hospital. Results: The Standard Uptake Values for each hypermetabolic lesion were not described in PET-CT reports. Fifteen patients had an EMM and in eight, without a previous clinical suspicion, PET-TC lead to the diagnosis. The mortality rate in the 39 patients with MM was 46%. Sixty seven percent of deaths occurred in patients with EMM. Conclusions: PET-TC was useful to diagnose EMM. However, a standardization in PETCT reports would be required to unify criteria. As previously reported, EMM had a greater aggressiveness and lower survival |
Disciplinas: | Medicina |
Palabras clave: | Neurología, Diagnóstico, Mieloma múltiple, Tomografía por emisión de positrones, Fluorodesoxiglucosa |
Keyword: | Neurology, Diagnosis, Multiple myeloma, Positron emission tomography, Fluorodeoxyglucose |
Texto completo: | Texto completo (Ver HTML) Texto completo (Ver PDF) |