title: [PET in primary pulmonary or pleural cancer].
abstract: In our hospital as in many others, primary lung cancer is the most frequent indication for FDG PET. Studies have assessed the clinical utility of this imaging modality in characterizing solitary pulmonary nodules or masses, initial staging, defining tumor volume in radiotherapy and searching for recurrence of or restaging non-small cell carcinoma; studies are currently underway to evaluate its use in early assessment of chemotherapy response. Small cell lung cancer has a high FDG uptake and PET/CT can be useful for rapid staging. False negative results may be due to pure bronchioloalveolar carcinomas and endocrine tumors. FDG-PET will certainly play a more important role in the diagnosis and follow-up of pleural cancers in the future. An unexpected positive FDG PET focus should be considered as a warning, but histological proof should precede any irrevocable decisions.
authors.affiliation: Service de Médecine Nucléaire, Hôpital Tenon, AP-HP, Paris. jean-noel.talbot@tnn.ap-hop-paris.fr
authors.forename: Jean-Noël
authors.initials: JN
authors.lastname: Talbot
authors.forename: Khaldoun
authors.initials: K
authors.lastname: Kerrou
authors.forename: Dany
authors.initials: D
authors.lastname: Grahek
authors.forename: Sona
authors.initials: S
authors.lastname: Balogova
authors.forename: Valérie
authors.initials: V
authors.lastname: Gounant
authors.forename: Armelle
authors.initials: A
authors.lastname: Lavole
authors.forename: Fabrice
authors.initials: F
authors.lastname: Gutman
authors.forename: Vanessa
authors.initials: V
authors.lastname: Aflalo-Hazan
authors.forename: Irena
authors.initials: I
authors.lastname: Raileanu
authors.forename: Françoise
authors.initials: F
authors.lastname: Montravers
authors.forename: Charles
authors.initials: C
authors.lastname: Mayaud
mesh_terms: D003937:Diagnosis, Differential; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging*; D009367:Neoplasm Staging; D010997:Pleural Neoplasms / Q000000981:diagnostic imaging*; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18