Correlation between Skip N2 Metastases and SUVmax, Long Diameter of Tumor, and Ki67 Expression in Patients with Non-Small-Cell Lung Cancer

Background. We aim at investigating the correlation between skip N2 metastases (SN2) and SUVmax, long diameter of tumor mass after 18F-FDG PET/CT, and pathological Ki67 expression in patients with non-small-cell lung cancer (NSCLC). Methods and Results. We retrospectively analyzed the factors that m...

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Veröffentlicht in:BioMed research international 2020, Vol.2020 (2020), p.1-7, Article 9298358
Hauptverfasser: Jun, Zhao, Long-bao, Xu, Ming-ya, Peng, Jian, Wang, Shao, Guoqiang
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Long-bao, Xu
Ming-ya, Peng
Jian, Wang
Shao, Guoqiang
description Background. We aim at investigating the correlation between skip N2 metastases (SN2) and SUVmax, long diameter of tumor mass after 18F-FDG PET/CT, and pathological Ki67 expression in patients with non-small-cell lung cancer (NSCLC). Methods and Results. We retrospectively analyzed the factors that might affect the pathogenesis of SN2 in these patients. The clinical SN2 symptoms in patients with squamous carcinoma or adenocarcinoma were investigated. The work curve was utilized to analyze the optimal cutoff value for the SUVmax and long diameter of tumor. Multivariate analysis revealed that high expression of Ki67 was a risk factor for mediastinal SN2 (OR=1.042, 95% CI: 1.009-1.076). Subgroup analysis indicated that the SUVmax of the non-SN2 group was significantly higher than that of the SN2 group in patients with squamous carcinoma (16.3±6.0 vs. 10.7±5.6, P=0.026). In the patients with adenocarcinoma, the long diameter of tumor in the SN2 group was significantly longer than that of the non-SN2 group (43.8±16.3 mm vs. 30.1±13.8 mm, P=0.032). The Ki67 expression in the SN2 group was significantly higher than that of the non-SN2 group (51.7±24.0 vs. 30.0±19.2, P=0.028). Conclusions. The differences of clinical features of the patients in the SN2 group and non-SN2 group in the NSCLC patients were associated with the pathological subtypes, which were featured by lower SUVmax in the SN2 of the squamous carcinoma, and longer diameter of SN2 in the adenocarcinoma patients.
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We aim at investigating the correlation between skip N2 metastases (SN2) and SUVmax, long diameter of tumor mass after 18F-FDG PET/CT, and pathological Ki67 expression in patients with non-small-cell lung cancer (NSCLC). Methods and Results. We retrospectively analyzed the factors that might affect the pathogenesis of SN2 in these patients. The clinical SN2 symptoms in patients with squamous carcinoma or adenocarcinoma were investigated. The work curve was utilized to analyze the optimal cutoff value for the SUVmax and long diameter of tumor. Multivariate analysis revealed that high expression of Ki67 was a risk factor for mediastinal SN2 (OR=1.042, 95% CI: 1.009-1.076). Subgroup analysis indicated that the SUVmax of the non-SN2 group was significantly higher than that of the SN2 group in patients with squamous carcinoma (16.3±6.0 vs. 10.7±5.6, P=0.026). In the patients with adenocarcinoma, the long diameter of tumor in the SN2 group was significantly longer than that of the non-SN2 group (43.8±16.3 mm vs. 30.1±13.8 mm, P=0.032). The Ki67 expression in the SN2 group was significantly higher than that of the non-SN2 group (51.7±24.0 vs. 30.0±19.2, P=0.028). Conclusions. The differences of clinical features of the patients in the SN2 group and non-SN2 group in the NSCLC patients were associated with the pathological subtypes, which were featured by lower SUVmax in the SN2 of the squamous carcinoma, and longer diameter of SN2 in the adenocarcinoma patients.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2020/9298358</identifier><identifier>PMID: 32420384</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Adenocarcinoma ; Biomedical research ; Biotechnology &amp; Applied Microbiology ; Life Sciences &amp; Biomedicine ; Lung cancer ; Lymphatic system ; Medical imaging ; Medicine, Research &amp; Experimental ; Metastases ; Metastasis ; Multivariate analysis ; Non-small cell lung carcinoma ; Pathogenesis ; Positron emission tomography ; Research &amp; Experimental Medicine ; Risk analysis ; Risk factors ; Science &amp; Technology ; Small cell lung carcinoma ; Statistical analysis ; Subgroups ; Tumors</subject><ispartof>BioMed research international, 2020, Vol.2020 (2020), p.1-7, Article 9298358</ispartof><rights>Copyright © 2020 Wang Jian et al.</rights><rights>Copyright © 2020 Wang Jian et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. http://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2020 Wang Jian et al. 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>3</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000533295900008</woscitedreferencesoriginalsourcerecordid><cites>FETCH-LOGICAL-e368t-820670d237cee880e6dde83302c231cf7b3fd323431fea8367fda447a25b076b3</cites><orcidid>0000-0002-3277-6933 ; 0000-0003-0262-3394</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201773/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201773/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,887,4026,27930,27931,27932,28255,53798,53800</link.rule.ids></links><search><contributor>Kafle, Kumud K.</contributor><contributor>Kumud K Kafle</contributor><creatorcontrib>Jun, Zhao</creatorcontrib><creatorcontrib>Long-bao, Xu</creatorcontrib><creatorcontrib>Ming-ya, Peng</creatorcontrib><creatorcontrib>Jian, Wang</creatorcontrib><creatorcontrib>Shao, Guoqiang</creatorcontrib><title>Correlation between Skip N2 Metastases and SUVmax, Long Diameter of Tumor, and Ki67 Expression in Patients with Non-Small-Cell Lung Cancer</title><title>BioMed research international</title><addtitle>BIOMED RES INT-UK</addtitle><description>Background. We aim at investigating the correlation between skip N2 metastases (SN2) and SUVmax, long diameter of tumor mass after 18F-FDG PET/CT, and pathological Ki67 expression in patients with non-small-cell lung cancer (NSCLC). Methods and Results. We retrospectively analyzed the factors that might affect the pathogenesis of SN2 in these patients. The clinical SN2 symptoms in patients with squamous carcinoma or adenocarcinoma were investigated. The work curve was utilized to analyze the optimal cutoff value for the SUVmax and long diameter of tumor. Multivariate analysis revealed that high expression of Ki67 was a risk factor for mediastinal SN2 (OR=1.042, 95% CI: 1.009-1.076). Subgroup analysis indicated that the SUVmax of the non-SN2 group was significantly higher than that of the SN2 group in patients with squamous carcinoma (16.3±6.0 vs. 10.7±5.6, P=0.026). In the patients with adenocarcinoma, the long diameter of tumor in the SN2 group was significantly longer than that of the non-SN2 group (43.8±16.3 mm vs. 30.1±13.8 mm, P=0.032). The Ki67 expression in the SN2 group was significantly higher than that of the non-SN2 group (51.7±24.0 vs. 30.0±19.2, P=0.028). Conclusions. The differences of clinical features of the patients in the SN2 group and non-SN2 group in the NSCLC patients were associated with the pathological subtypes, which were featured by lower SUVmax in the SN2 of the squamous carcinoma, and longer diameter of SN2 in the adenocarcinoma patients.</description><subject>Adenocarcinoma</subject><subject>Biomedical research</subject><subject>Biotechnology &amp; Applied Microbiology</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Lung cancer</subject><subject>Lymphatic system</subject><subject>Medical imaging</subject><subject>Medicine, Research &amp; Experimental</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Multivariate analysis</subject><subject>Non-small cell lung carcinoma</subject><subject>Pathogenesis</subject><subject>Positron emission tomography</subject><subject>Research &amp; Experimental Medicine</subject><subject>Risk analysis</subject><subject>Risk factors</subject><subject>Science &amp; 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We aim at investigating the correlation between skip N2 metastases (SN2) and SUVmax, long diameter of tumor mass after 18F-FDG PET/CT, and pathological Ki67 expression in patients with non-small-cell lung cancer (NSCLC). Methods and Results. We retrospectively analyzed the factors that might affect the pathogenesis of SN2 in these patients. The clinical SN2 symptoms in patients with squamous carcinoma or adenocarcinoma were investigated. The work curve was utilized to analyze the optimal cutoff value for the SUVmax and long diameter of tumor. Multivariate analysis revealed that high expression of Ki67 was a risk factor for mediastinal SN2 (OR=1.042, 95% CI: 1.009-1.076). Subgroup analysis indicated that the SUVmax of the non-SN2 group was significantly higher than that of the SN2 group in patients with squamous carcinoma (16.3±6.0 vs. 10.7±5.6, P=0.026). In the patients with adenocarcinoma, the long diameter of tumor in the SN2 group was significantly longer than that of the non-SN2 group (43.8±16.3 mm vs. 30.1±13.8 mm, P=0.032). The Ki67 expression in the SN2 group was significantly higher than that of the non-SN2 group (51.7±24.0 vs. 30.0±19.2, P=0.028). Conclusions. The differences of clinical features of the patients in the SN2 group and non-SN2 group in the NSCLC patients were associated with the pathological subtypes, which were featured by lower SUVmax in the SN2 of the squamous carcinoma, and longer diameter of SN2 in the adenocarcinoma patients.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>32420384</pmid><doi>10.1155/2020/9298358</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3277-6933</orcidid><orcidid>https://orcid.org/0000-0003-0262-3394</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adenocarcinoma
Biomedical research
Biotechnology & Applied Microbiology
Life Sciences & Biomedicine
Lung cancer
Lymphatic system
Medical imaging
Medicine, Research & Experimental
Metastases
Metastasis
Multivariate analysis
Non-small cell lung carcinoma
Pathogenesis
Positron emission tomography
Research & Experimental Medicine
Risk analysis
Risk factors
Science & Technology
Small cell lung carcinoma
Statistical analysis
Subgroups
Tumors
title Correlation between Skip N2 Metastases and SUVmax, Long Diameter of Tumor, and Ki67 Expression in Patients with Non-Small-Cell Lung Cancer
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