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Lungentumoren

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PET/CT-Atlas

Zusammenfassung

Lungenkarzinome als weltweit häufigste bösartige Tumorerkrankung teilen sich histologisch in das nichtkleinzellige und das kleinzellige Bronchialkarzinom, das bronchoalveoläre Karzinom und das neuroendokrine Karzinom. Die FDG-PET/CT wird bei Verdacht auf einen primären Lungentumor zunehmend in die bisherigen bildgebenden Modalitäten (CT, Bronchoskopie, Mediastinoskopie, MRT, Knochenszintigraphie) zur weiteren Diagnosesicherung eingebunden. Die PET/CT zeichnet sich beim T-, N- und M-Staging durch einen Informationsgewinn und damit durch eine höhere Vorhersage- bzw. Ausschlussquote aus. Lymphknotenmetastasen außerhalb des Mediastinums sowie Nebennieren-, Knochen- und Knochenmarkmetastasen spielen eine therapieentscheidende Rolle im primären Staging. Besonders in der Planung der Strahlentherapie von Lungenkarzinomen leistet die FDG-PET/CT einen essenziellen Beitrag. Nach potenziell kurativer Therapie hat sie Einfluss auf das weitere Management und die Prognosestratifikation.

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Mohnike, W., Hör, G., Hertel, A. (2016). Lungentumoren. In: Mohnike, W., Hör, G., Hertel, A., Schelbert, H. (eds) PET/CT-Atlas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48842-3_6

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