18FDG Uptake in Sinonasal Inverted Papilloma Detected by Positron Emission Tomography/Computed Tomography

Inverted papilloma (IP) is a benign but locally aggressive sinonasal tumour. Aggressive surgical treatment has thus been traditionally recommended because of the risk of transformation in squamous carcinoma. CT and MRI are used to evaluate bone destruction and soft-tissue extension before surgery bu...

Full description

Saved in:
Bibliographic Details
Main Authors: E. Allegra, M. G. Cristofaro, L. G. Cascini, N. Lombardo, O. Tamburrini, A. Garozzo
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/2012/943412
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849403414347251712
author E. Allegra
M. G. Cristofaro
L. G. Cascini
N. Lombardo
O. Tamburrini
A. Garozzo
author_facet E. Allegra
M. G. Cristofaro
L. G. Cascini
N. Lombardo
O. Tamburrini
A. Garozzo
author_sort E. Allegra
collection DOAJ
description Inverted papilloma (IP) is a benign but locally aggressive sinonasal tumour. Aggressive surgical treatment has thus been traditionally recommended because of the risk of transformation in squamous carcinoma. CT and MRI are used to evaluate bone destruction and soft-tissue extension before surgery but may be ineffective to differentiate an inverted papilloma from squamous cell carcinoma. In recent years, F-18 Fluorodeoxyglucose positron emission tomography (18FDG-PET) is widely used as diffuse imaging procedure for diagnosis and followup of malignancy affecting the head and neck district. To evaluate the utility of 18FDG-PET/CT in the diagnosis of patients with suspicious lesions for IP, twelve patients with suspicious sinonasal inverted papilloma were selected for this study. 18FDG-PET/CT imaging was performed, and standard uptake value (SUV) was calculated for each patient. SUVmax was considered as the maximum value measured in the visualized lesions. Seven of the twelve cases exhibited uptake of 18FFDG with an SUVmax ranging from 1 to 8.1. Histopathologic diagnosis after surgery confirmed the diagnosis of IP in five cases; all these cases had an SUVmax>3. The five cases, which exhibited absence of 18FDG uptake, had a histological diagnosis of absence of IP.
format Article
id doaj-art-8ef98d342f0c469f8a14e35fc9762b0a
institution Kabale University
issn 1537-744X
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-8ef98d342f0c469f8a14e35fc9762b0a2025-08-20T03:37:16ZengWileyThe Scientific World Journal1537-744X2012-01-01201210.1100/2012/94341294341218FDG Uptake in Sinonasal Inverted Papilloma Detected by Positron Emission Tomography/Computed TomographyE. Allegra0M. G. Cristofaro1L. G. Cascini2N. Lombardo3O. Tamburrini4A. Garozzo5Otolaryngology Head and Neck Surgery Unit, Policlinico Germaneto-“Magna Graecia”, University of Catanzaro, 88100 Catanzaro, ItalyMaxillo-Facial Surgery Unit, Policlinico Germaneto-“Magna Graecia”, University of Catanzaro, 88100 Catanzaro, ItalyRadiology Unit, Policlinico Germaneto-“Magna Graecia”, University of Catanzaro, 88100 Catanzaro, ItalyOtolaryngology Head and Neck Surgery Unit, Policlinico Germaneto-“Magna Graecia”, University of Catanzaro, 88100 Catanzaro, ItalyRadiology Unit, Policlinico Germaneto-“Magna Graecia”, University of Catanzaro, 88100 Catanzaro, ItalyOtolaryngology Head and Neck Surgery Unit, Policlinico Germaneto-“Magna Graecia”, University of Catanzaro, 88100 Catanzaro, ItalyInverted papilloma (IP) is a benign but locally aggressive sinonasal tumour. Aggressive surgical treatment has thus been traditionally recommended because of the risk of transformation in squamous carcinoma. CT and MRI are used to evaluate bone destruction and soft-tissue extension before surgery but may be ineffective to differentiate an inverted papilloma from squamous cell carcinoma. In recent years, F-18 Fluorodeoxyglucose positron emission tomography (18FDG-PET) is widely used as diffuse imaging procedure for diagnosis and followup of malignancy affecting the head and neck district. To evaluate the utility of 18FDG-PET/CT in the diagnosis of patients with suspicious lesions for IP, twelve patients with suspicious sinonasal inverted papilloma were selected for this study. 18FDG-PET/CT imaging was performed, and standard uptake value (SUV) was calculated for each patient. SUVmax was considered as the maximum value measured in the visualized lesions. Seven of the twelve cases exhibited uptake of 18FFDG with an SUVmax ranging from 1 to 8.1. Histopathologic diagnosis after surgery confirmed the diagnosis of IP in five cases; all these cases had an SUVmax>3. The five cases, which exhibited absence of 18FDG uptake, had a histological diagnosis of absence of IP.http://dx.doi.org/10.1100/2012/943412
spellingShingle E. Allegra
M. G. Cristofaro
L. G. Cascini
N. Lombardo
O. Tamburrini
A. Garozzo
18FDG Uptake in Sinonasal Inverted Papilloma Detected by Positron Emission Tomography/Computed Tomography
The Scientific World Journal
title 18FDG Uptake in Sinonasal Inverted Papilloma Detected by Positron Emission Tomography/Computed Tomography
title_full 18FDG Uptake in Sinonasal Inverted Papilloma Detected by Positron Emission Tomography/Computed Tomography
title_fullStr 18FDG Uptake in Sinonasal Inverted Papilloma Detected by Positron Emission Tomography/Computed Tomography
title_full_unstemmed 18FDG Uptake in Sinonasal Inverted Papilloma Detected by Positron Emission Tomography/Computed Tomography
title_short 18FDG Uptake in Sinonasal Inverted Papilloma Detected by Positron Emission Tomography/Computed Tomography
title_sort 18fdg uptake in sinonasal inverted papilloma detected by positron emission tomography computed tomography
url http://dx.doi.org/10.1100/2012/943412
work_keys_str_mv AT eallegra 18fdguptakeinsinonasalinvertedpapillomadetectedbypositronemissiontomographycomputedtomography
AT mgcristofaro 18fdguptakeinsinonasalinvertedpapillomadetectedbypositronemissiontomographycomputedtomography
AT lgcascini 18fdguptakeinsinonasalinvertedpapillomadetectedbypositronemissiontomographycomputedtomography
AT nlombardo 18fdguptakeinsinonasalinvertedpapillomadetectedbypositronemissiontomographycomputedtomography
AT otamburrini 18fdguptakeinsinonasalinvertedpapillomadetectedbypositronemissiontomographycomputedtomography
AT agarozzo 18fdguptakeinsinonasalinvertedpapillomadetectedbypositronemissiontomographycomputedtomography