Colorectal cancer - patterns of locoregional recurrence and distant metastases as demonstrated by FDG PET / CT

Nilendu C Purandare; Sumeet G Dua; Abhishek Arora; Sneha Shah; Venkatesh Rangarajan

doi:10.4103/0971-3026.73545

Indian Journal of Radiology and Imaging, Table of Contents

CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2010; 20(04): 284-288
DOI: 10.4103/0971-3026.73545

Abdominal

Colorectal cancer - patterns of locoregional recurrence and distant metastases as demonstrated by FDG PET / CT

Authors

Nilendu C Purandare

Bio-Imaging Unit, Tata Memorial Hospital, Dr. Ernest Borges Marg, Parel, Mumbai- 400 012, India
Sumeet G Dua

Bio-Imaging Unit, Tata Memorial Hospital, Dr. Ernest Borges Marg, Parel, Mumbai- 400 012, India
Abhishek Arora

Bio-Imaging Unit, Tata Memorial Hospital, Dr. Ernest Borges Marg, Parel, Mumbai- 400 012, India
Sneha Shah

Bio-Imaging Unit, Tata Memorial Hospital, Dr. Ernest Borges Marg, Parel, Mumbai- 400 012, India
Venkatesh Rangarajan

Bio-Imaging Unit, Tata Memorial Hospital, Dr. Ernest Borges Marg, Parel, Mumbai- 400 012, India

Abstract

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Abstract

Colorectal cancer (CRC) can recur locoregionally or at distant sites. Timely diagnosis of recurrence is of paramount importance, as radical treatment of the localized disease can prolong survival. Fluorodeoxyglucose positron emission tomography / computed tomography (PET / CT) is routinely used in restaging and surveillance of colorectal cancer, as it can demonstrate recurrent disease with good accuracy. This article illustrates the spectrum of standard as well as unusual patterns of local recurrence and distant metastases of colorectal cancer.

Keywords

Fluorodeoxyglucose (FDG) PET / CT - colorectal cancer - recurrence disease

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References

References
1 Galandiuk S, Wieand HS, Moertel CG, Cha SS, Fitzgibbons RJ Jr, Pemberton JH, et al. Patterns of recurrence after curative resection of carcinoma of the colon and rectum. Surg Gynecol Obstet 1992;174:27-32.
2 Viganς L, Ferrero A, Lo Tesoriere R, Capussotti L. Livernone surgery for colorectal metastases: results after 10 years of follow-up. Long-term survivors, late recurrences, and prognostic role of morbidity. Ann Surg Oncol 2008;15:2458-64.
3 Pfannschmidt J, Dienemann H, Hoffmann H. Surgical resection of pulmonary metastases from colorectal cancer: a systematic review of published series. Ann Thorac Surg 2007;84:324-38.
4 Gayowski TJ, Iwatsuki S, Madariaga JR, Selby R, Todo S, Irish W, et al. Experience in hepatic resection for metastatic colorectal cancer: analysis of clinical and pathologic risk factors. Surgery 1994;116:703-10.
5 Delbeke D, Vitola JV, Sandler MP, Arildsen RC, Powers TA, Wright JK Jr, et al. Staging recurrent metastatic colorectal carcinoma with PET. J Nucl Med 1997;38:1196-201.
6 Flamen P, Hoekstra OS, Homans F, Van Cutsem E, Maes A, Stroobants S, et al. Unexplained rising carcinoembryonic antigen (CEA) in the postoperative surveillance of colorectal cancer: the utility of positron emission tomography (PET). Eur J Cancer 2001;37:862-9.
7 Quentmeier A, Schlag P, Smok M, Herfarth C. Re-operation for recurrent colorectal cancer: the importance of early diagnosis for resectability and survival. Eur J Surg Oncol 1990;16:319-25.
8 Huguier M, Houry S, Barrier A. Local recurrence of cancer of the rectum. Am J Surg 2001;182:437-9.
9 Ogunbiyi OA, Flanagan FL, Dehdashti F, Siegel BA, Trask DD, Birnbaum EH, et al. Detection of recurrent and metastatic colorectal cancer: comparison of positron emission tomography and computed tomography. Ann Surg Oncol 1997;4:613-20.
10 Shyn PB, Madan R, Wu C. PET/CT pattern analysis for surgical staple line recurrence in patients with colorectal cancer. AJR Am J Roentgenol 2010;194:414-21.
11 Tsunoda Y, Ito M, Fujii H, Kuwano H, Saito N. Preoperative diagnosis of lymph node metastases of colorectal cancer by FDG-PET/CT. Jpn J Clin Oncol 2008;38:347-53.
12 Scott AM, Gunawardana DH, Kelley B, Stuckey JG, Byrne AJ, Ramshaw JE, et al. PET changes management and improves prognostic stratification in patients with recurrent colorectal cancer: results of a multicenter prospective study. J Nucl Med 2008;49:1451-7.
13 Watson AJ, Lolohea S, Robertson GM, Frizelle FA. The role of positron emission tomography in the management of recurrent colorectal cancer: a review. Dis Colon Rectum 2007;50:102-14.
14 Bipat S, van Leeuwen MS, Comans EF, Pijl ME, Bossuyt PM, Zwinderman AH, et al. Colorectal Liver Metastases: CT, MR Imaging, and PET for Diagnosis-Meta-analysis. Radiology 2005;237:123-31.
15 Kong G, Jackson C, Koh DM, Lewington V, Sharma B, Brown G, et al. The use of 18F-FDG PET/CT in colorectal liver metastases--comparison with CT and liver MRI. Eur J Nucl Med Mol Imaging 2008;35:1323-9.
16 Selzner M, Hany TF, Wildbrett P, McCormack L, Kadry Z, Clavien PA. Does the novel PET/CT imaging modality impact on the treatment of patients with metastatic colorectal cancer of the liver? Ann Surg 2004;240:1027-34.
17 Travaini LL, Trifirς G, Ravasi L, Monfardini L, Della Vigna P, Bonomo G, et al. Role of [18F] FDG-PET/CT after radiofrequency ablation of liver metastases: preliminary results. Eur J Nucl Med Mol Imaging 2008;35:1316-22.
18 Khandani AH, Calvo BF, O′ Neil BH, Jorgenson J, Mauro MA. A pilot study of Early 18 F- FDG PET to evaluate the effectiveness of radiofrequency ablation of liver metastases. AJR Am J Roentgenol 2007;189:1199-202.
19 Kuehl H, Antoch G, Stergar H, Veit-Haibach P, Rosenbaum-Krumme S, Vogt F, et al. Comparison of FDG-PET, PET/CT and MRI for follow-up of colorectal liver metastases treated with radiofrequency ablation: Initial results. Eur J Radiol 2008;67:362-71.
20 Sugarbaker PH, Jablonski KA. Prognostic fearures of 51 colorectal and 130 appendiceal cancer patients with peritoneal carcinomatosis treated by cytoreductive surgery and intraperitoneal chemotherapy. Ann Surg 1995;221:124-32.
21 Sugarbaker PH. Successful management of microscopic residual disease in large bowel cancer. Cancer Chemother Pharmacol 1999;43;S15-25.
22 Silecchia G, Perrotta N, Giraudo G, Salval M, Parini U, Feliciotti F, et al. Abdominal wall recurrences after colorectal resection for cancer: Results of the Italian registry of laproscopic colorectal surgery. Dis Colon Rectum 2002;45:1172-7.
23 Koea JB, Lanouette N, Paty PB, Guillem JG, Cohen AM. Abdominal wall recurrence after colorectal resection for cancer. Dis Colon Rectum 2000;43:628-32.
24 Goshen E, Davidson T, Aderka D, Zwas ST. PET/CT detects abdominal wall and port site metastases of colorectal carcinoma. Br J Radiol 2006;79:572-77.
25 Sundermeyer ML, Meropol NJ, Rogatko A, Wang H, Cohen SJ. Changing patterns of bone and brain metastases in patients with colorectal cancer. Clin Colorectal Cancer 2005;5:108-13.
26 Hanna WC, Ponsky TA, Trachiotis GD, Knoll SM. Colon cancer metastatic to the lung and the thyroid gland. Arch Surg 2006;141:93-6.
27 Murakami S, Terakado M, Hashimoto T, Tsuji Y, Okubo K, Hirayama R. Adrenal metastasis from rectal cancer: report of a case. Surg Today 2003;33:126-30.
28 Hyun IY, Yun MY. FDG uptake in cutaneous and subcutaneous metastases from colorectal adenocarcinoma. Clin Nucl Med 2010;35:93-4.
29 Dimitrakopoulou-Strauss A, Strauss LG, Rudi J. PET FDG as predictor of therapy response in patients with colorectal carcinoma. Q J Nucl Med 2003;47:8-13.