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Buder, K; Lapa, C; Kreissl, MC; Schirbel, A; Herrmann, K; Schnack, A; Bröcker, EB; Goebeler, M; Buck, AK; Becker, JC.
Somatostatin receptor expression in Merkel cell carcinoma as target for molecular imaging.
BMC Cancer. 2014; 14(3):268-268
Doi: 10.1186/1471-2407-14-268
[OPEN ACCESS]
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
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Becker Jürgen Christian
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- Abstract:
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Merkel cell carcinoma (MCC) is a rare cutaneous neoplasm with increasing incidence, aggressive behavior and poor prognosis. Somatostatin receptors (SSTR) are expressed in MCC and represent a potential target for both imaging and treatment.
To non-invasively assess SSTR expression in MCC using PET and the radiotracers [68Ga]DOTA-D-Phe1-Tyr3-octreotide (DOTATOC) or -octreotate (DOTATATE) as surrogate for tumor burden. In 24 patients with histologically proven MCC SSTR-PET was performed and compared to results of computed tomography (CT).
SSTR-PET detected primary and metastatic MCC lesions. On a patient-based analysis, sensitivity of SSTR-PET was 73% for nodal metastases, 100% for bone, and 67% for soft-tissue metastases, respectively. Notably, brain metastases were initially detected by SSTR-PET in 2 patients, whereas liver and lung metastases were diagnosed exclusively by CT. SSTR-PET showed concordance to CT results in 20 out of 24 patients. Four patients (17%) were up-staged due to SSTR-PET and patient management was changed in 3 patients (13%).
SSTR-PET showed high sensitivity for imaging bone, soft tissue and brain metastases, and particularly in combination with CT had a significant impact on clinical stage and patient management.
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Adult -
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Aged -
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Aged, 80 and over -
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Brain Neoplasms - diagnostic imaging
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Brain Neoplasms - pathology
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Brain Neoplasms - secondary
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Carcinoma, Merkel Cell - diagnostic imaging
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Carcinoma, Merkel Cell - genetics
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Carcinoma, Merkel Cell - pathology
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Carcinoma, Merkel Cell - therapy
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Female -
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Gene Expression Regulation, Neoplastic -
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Humans -
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Male -
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Middle Aged -
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Molecular Imaging -
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Octreotide - analogs & derivatives
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Positron-Emission Tomography - methods
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Radiopharmaceuticals -
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Receptors, Somatostatin - biosynthesis
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Receptors, Somatostatin - therapeutic use
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Somatostatin - metabolism
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Tomography, X-Ray Computed -
- Find related publications in this database (Keywords)
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Merkel cell carcinoma
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Molecular imaging
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Somatostatin receptor expression
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Positron emission tomography