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10.21037/tau.2017.04.36

http://scihub22266oqcxt.onion/10.21037/tau.2017.04.36
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suck abstract from ncbi


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pmid29184780
      Transl+Androl+Urol 2017 ; 6 (5 ): 833-838
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  • The role of PET/CT imaging in penile cancer #MMPMID29184780
  • Ottenhof SR ; Vegt E
  • Transl Androl Urol 2017[Oct]; 6 (5 ): 833-838 PMID29184780 show ga
  • Positron emission tomography (PET) imaging with (18)F-fluorodeoxyglucose (FDG) combined with computed tomography (CT) provides functional imaging combined with anatomic information, improving diagnostic accuracy and confidence. Although virtually all primary penile tumors are FDG-avid, PET/CT is not recommended for primary tumor staging as it has limited spatial resolution and is hampered by urinary FDG excretion. The accuracy of PET/CT for lymph node staging seems to improve with the pretest likelihood of metastatic nodes. In groins with normal physical examination, sensitivity is only 57%. In groins with palpably enlarged lymph nodes, sensitivity of PET/CT reaches 96%. For pelvic lymph nodes and distant metastases, PET/CT is more accurate if inguinal metastases are present. However, these results are based on a very limited number of studies. Overall, the role of PET/CT imaging in penile cancer remains ambiguous, especially in inguinal lymph nodes. During staging and follow-up, it may be particularly useful in detecting pelvic lymph node metastases and occult distant metastases prior to systemic chemotherapy and/or extensive surgery, improving selection of patients that are most likely to benefit from such therapies.
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