Is there an association between immunohistochemical parameters of breast cancer and metabolic parameters obtained with 18F-fluorodeoxyglucose PET / CT?
Year 2019,
Volume: 11 Issue: 2, 51 - 61, 30.12.2019
Introduction: The aim of our study to investigate relationship between 18F -fluorodeoxyglucose
PET/CT (18F-FDG PET/CT) metabolic parameters and immunohistochemical factors in breast
carcinomas.
Material and method: Patients with breast carcinomas who underwent 18F-FDG PET/CT imaging at
our department between May 2018 and November 2019 were included in this study. A total of 146
female patients were included (aged 49.1 ± 13.4years; range, 26-87 years). PET scanning was
performed in 3D mode from the skull ceiling to the middle of the thigh. Metabolic parameters such as
TLG (Total lesion glycolysis), MTV (Metabolic tumor volume) , SUVmean and SUVmax values were
calculated. We obtained the histopathological findings, including the size of invasive cancer,
histological type, histological grade, ER and PR status, epidermal growth factor receptor (HER2) and
Ki-67 of the primary tumor by reviewing the pathology reports.
Result: SUV max and SUVmean of Oestrogen receptor negative group were statistically higher than
Oestrogen receptor positive group (p=0.009). SUVmean of progesterone receptor negative group
were statistically higher than progesterone receptor positive group (p=0.05). Ki-67 of the Oestrogen
receptor negative group and progesterone receptor negative group were statistically higher than
Oestrogen receptor and progesterone receptor positive group (p=0.001, 0,001 respectively). Both
SUVmax and SUVmean of Ki-67 positive group were statistically higher than Ki-67negative group
(p=0.0001).
Conclusions: 1-SUV max, SUVmean and Ki-67 of Oestrogen receptor negative group were
statistically higher than Oestrogen receptor positive group.
2-SUVmean and Ki-67 of progesterone receptor negative group were statistically higher than
progesteron receptor positive group.
3- HER2 positive and/or triple negative breast cancers were not associated with 18F-FDG PET/CT
metabolic parameters
1. Singletary, S. E. Rating the risk factors for breast cancer. Annals of Surgery, 2003;237(4),
474–482.
2. Barber, M. D., Jack, W., & Dixon, J. M. Diagnostic delay in breast cancer. British Journal
of Surgery, 2004; 91(1), 49–53.
3. Osborne C.K., Yochmowitz M.G., Knight W.A., and McGuire W.L.: The value of estrogen
and progesterone receptors in the treatment of breast cancer. Cancer 1980; 46: pp. 2884-
2888
4-Iqbal, N. Human epidermal growth factor receptor 2 (HER2) in cancers: Overexpression
and therapeutic implications. Molecular Biology International, 2014; 852748(10), 7.
5. Koolen BB, Vrancken Peeters MJ, Wesseling J, et al. Association of primary tumour FDG
uptake with clinical, histopathological and molecular characteristics in breast cancer
patients scheduled for neoadjuvant chemotherapy. Eur J Nucl Med Mol Imaging.
2012;39:1830–8.
6. Flanagan FL, Dehdashti F, Siegel BA. PET in breast cancer. Semin Nucl Med.
1998;28:290–302.
7-Choi BB, KimSH, Kang BJ, et al. Diffusion-weighted imaging and FDG PET/CT:
predicting the prognoses with apparent diffusion coefficient values and maximum
standardized uptake values in patients with invasive ductal carcinoma. World J Surg
Oncol. 2012;10:126.
8. Bos R, van Der Hoeven JJ, van Der Wall E, van Der Groep P, van Diest PJ, Comans EF.
Biologic correlates of (18)fluorodeoxyglucose uptake in human breast cancer measured by
positron emission tomography. J Clin Oncol. 2002;20:379–87.
9. Ekmekcioglu O, Aliyev A, Yilmaz S, Arslan E, Kaya R, Kocael P. Correlation of 18F
fluorodeoxyglucose uptake with histopathological prognostic factors in breast carcinoma.
Nucl Med Commun. 2013;34:1055–67.
10. Gil-Rendo A, Martinez-Regueira F, Zornoza G, et al. Association between
[18F]fluorodeoxyglucose uptake and prognostic parameters in breast cancer. Br J Surg.
2009;96:166–70.
11. Groheux D, Giacchetti S, Moretti JL, et al. Correlation of high 18F-FDG uptake to
clinical, pathological and biological prognostic factors in breast cancer. Eur J Nucl Med
Mol Imaging. 2011;38:426–35.
12. Heudel P, Cimarelli S, Montella A, Bouteille C, Mognetti T. Value of PET-FDG in
primary breast cancer based on histopathological and immunohistochemical prognostic
factors. Int J Clin Oncol. 2010;15:588–93.
13. Sanli Y, Kuyumcu S, Ozkan ZG, Isik G, Karanlik H, Guzelbey B. Increased FDG uptake
in breast cancer is associated with prognostic factors. Ann Nucl Med. 2012;26:345–50.
14. Daisne J.-F., Sibomana M., Bol A., et al: Tri-dimensional automatic segmentation of PET
volumes based on measured source-to-background ratios: influence of reconstruction
algorithms. Radiother Oncol 2003; 69: pp. 247-250
15-Boellaard R, Delgado-Bolton R, Oyen WJ et al. FDG PET/CT: EANM procedure
guidelines for tumour imaging: version 2.0.European Association of Nuclear Medicine
(EANM). Eur J Nucl Med Mol Imaging. 2015;42(2):328-354.
16. Perou CM, Sorlie T, Eisen MB, et al. Molecular portraits of human breast tumours. Nature
2000; 406:747-752.
17-Goldhirsch A, Winer EP, Coates AS, et al. Personalizing the treatment of women with
early breast cancer: highlights of the St Gallen International Expert Consensus on the
Primary Therapy of Early Breast Cancer 2013. Ann Oncol 2013; 24:2206-2223.
18. Park S, Koo JS, Kim MS,et al. Characteristics and outcomes according to molecular
subtypes of breast cancer as classified by a panel of four biomarkers using
immunohistochemistry. Breast 2012; 21:50-57.
19. De Cicco C, Gilardi L, Botteri E, et al. Is [(18)F] fluorodeoxyglucose uptake by the
primary tumor a prognostic factor in breast cancer? Breast2013;22:39-43.
20. Mavi A, Cermik TF, Urhan M, et al. The effects of estrogen, progesterone, and C-erbB-2
receptor states on 18F-FDG uptake of primary breast cancer lesions. J Nucl Med
2007;48:1266-1272.
21. Osborne JR, Port E, Gonen M, et al. 18F-FDG PET of locally invasive breast cancer and
association of estrogen receptor status with standardised uptake value: microarray and
immunohistochemical analysis. J Nucl Med2010;51:543-550.
22. Buck A, Schirrmeister H, Kuhn T et al. FDG uptake in breast cancer: correlation with
biological and clinical prognostic parameters.Eur J Nucl Med Mol Imaging2002;29:1317-
1323.
23. Utech CI, Young CS, Winter PF. Prospective evaluation of fluorine-18
fluorodeoxyglucose positron emission tomography in breast cancer for staging of the axilla
related to surgery and immunocytochemistry.Eur J Nucl Med 1996;23:1588-1593.
24. Brock CS, Meikle SR, Price P. Does fluorine-18 fluorodeoxyglucose metabolic imaging
of tumours benefit oncology?Eur J Nucl Med1997;24:691-705.
25. Oshida M, Uno K, Suzuki M, Nagashima T, Hashimoto H, Yagata H, et al. Predicting the
prognoses of breast carcinoma patients with positron emission tomography using 2-deoxy2-fluoro[18F]-D-glucose.Cancer1998;82:2227-2234.
26. Avril N, Menzel M, Dose J, et al. Glucose metabolism of breast cancer assessed by 18FFDG PET: histologic and immunohistochemical tissue analysis. J Nucl Med2001;42:9-16.
27. Nishimura R, Osako T, Okumura Y, Hayashi M, Toyozumi Y, Arima N. Ki-67 as a
prognostic marker according to breast cancer subtype and a predictor of recurrence time in
primary breast cancer. Exp Ther Med 2010;1:747-754.
28. Dehdashti F, Mortimer JE, Siegel BA, Griffeth LK, et al. Positron tomographic
assessment of estrogen receptors in breast cancer: comparison with FDG-PET and in vitro
receptor assays. J Nucl Med. 1995;36(10):1766–1774.
29. Garcia Vicente AM, Castrejon AS, et al. 18F-FDG retention index and biologic prognostic
parameters in breast cancer. Clin Nucl Med. 2012;37(5):460–466.
30. Shimoda W, Hayashi M, Murakami K, Oyama T, et al. The relationship between FDG
uptake in PET scans and biological behavior in breast cancer. Breast Cancer.
2007;14(3):260–268. doi: 10.2325/jbcs.14.260.
31. Azambuja E, Cardoso F, de Castro G Jr, et al. Ki-6 as prognostic marker in early breast
cancer: a meta-analysis of published studies involving 12 155 patients.Br J Cancer
2007;96:1504-1513.
32. Yerushalmi R, Woods R, Ravdin PM, Hayes MM, Gelmon KA. Ki67 in breast cancer:
prognostic and predictive potential. Lancet Oncol 2010;11:174-183.
33. Urruticoechea A, Smith IE, Dowsett M. Proliferation marker Ki-67 in early breast cancer.
J Clin Oncol 2005;23:7212-7220.
34. Bos R, van Der Hoeven JJ, van Der Wall E, et al. Biologic correlates of
[18F]fluorodeoxyglucose uptake in human breast cancer measured by positron emission
tomography. J Clin Oncol 2002;20:379-387.
35. Buck A, Schirrmeister H, Kuhn T, et al. FDG uptake in breast cancer: correlation with
biological and clinical prognostic parameters. Eur J Nucl Med Mol Imaging 2002;29:1317-
1323.
36-Ito M, Shien T, Kaji M, Mizoo T, et al. Correlation between 18F-fluorodeoxyglucose
Positron Emission Tomography/computed Tomography and Clinicopathological Features
in Invasive Ductal Carcinoma of the Breast. Acta Med Okayama 2015; 69:333-338.
37-Ueda S, Tsuda H, Asakawa H, et al. Clinicopathological and prognostic relevance of
uptake level using 18F-fluorodeoxyglucose positron emission tomography/computed
tomography fusion imaging (18F-FDG PET/CT) in primary breast cancer. Jpn J Clin
Oncol 2008; 38:250-258.
38. Haffty BG, Yang Q, Reiss M, et al. Locoregional relapse and distant metastasis in
conservatively managed triple negative early stage breast cancer.J Clin
Oncol2006;24:5652-5657.
39. Basu S, Chen W, Tchou J, et al. Comparison of triple-negative and estrogen receptorpositive/progesterone receptor-positive/HER2-negative breast carcinoma using quantitative
fluorine-18 fluorodeoxyglucose/positron emission tomography imaging parameters: a
potentially useful method for disease characterization. Cancer2008;112:995-1000.
Year 2019,
Volume: 11 Issue: 2, 51 - 61, 30.12.2019
1. Singletary, S. E. Rating the risk factors for breast cancer. Annals of Surgery, 2003;237(4),
474–482.
2. Barber, M. D., Jack, W., & Dixon, J. M. Diagnostic delay in breast cancer. British Journal
of Surgery, 2004; 91(1), 49–53.
3. Osborne C.K., Yochmowitz M.G., Knight W.A., and McGuire W.L.: The value of estrogen
and progesterone receptors in the treatment of breast cancer. Cancer 1980; 46: pp. 2884-
2888
4-Iqbal, N. Human epidermal growth factor receptor 2 (HER2) in cancers: Overexpression
and therapeutic implications. Molecular Biology International, 2014; 852748(10), 7.
5. Koolen BB, Vrancken Peeters MJ, Wesseling J, et al. Association of primary tumour FDG
uptake with clinical, histopathological and molecular characteristics in breast cancer
patients scheduled for neoadjuvant chemotherapy. Eur J Nucl Med Mol Imaging.
2012;39:1830–8.
6. Flanagan FL, Dehdashti F, Siegel BA. PET in breast cancer. Semin Nucl Med.
1998;28:290–302.
7-Choi BB, KimSH, Kang BJ, et al. Diffusion-weighted imaging and FDG PET/CT:
predicting the prognoses with apparent diffusion coefficient values and maximum
standardized uptake values in patients with invasive ductal carcinoma. World J Surg
Oncol. 2012;10:126.
8. Bos R, van Der Hoeven JJ, van Der Wall E, van Der Groep P, van Diest PJ, Comans EF.
Biologic correlates of (18)fluorodeoxyglucose uptake in human breast cancer measured by
positron emission tomography. J Clin Oncol. 2002;20:379–87.
9. Ekmekcioglu O, Aliyev A, Yilmaz S, Arslan E, Kaya R, Kocael P. Correlation of 18F
fluorodeoxyglucose uptake with histopathological prognostic factors in breast carcinoma.
Nucl Med Commun. 2013;34:1055–67.
10. Gil-Rendo A, Martinez-Regueira F, Zornoza G, et al. Association between
[18F]fluorodeoxyglucose uptake and prognostic parameters in breast cancer. Br J Surg.
2009;96:166–70.
11. Groheux D, Giacchetti S, Moretti JL, et al. Correlation of high 18F-FDG uptake to
clinical, pathological and biological prognostic factors in breast cancer. Eur J Nucl Med
Mol Imaging. 2011;38:426–35.
12. Heudel P, Cimarelli S, Montella A, Bouteille C, Mognetti T. Value of PET-FDG in
primary breast cancer based on histopathological and immunohistochemical prognostic
factors. Int J Clin Oncol. 2010;15:588–93.
13. Sanli Y, Kuyumcu S, Ozkan ZG, Isik G, Karanlik H, Guzelbey B. Increased FDG uptake
in breast cancer is associated with prognostic factors. Ann Nucl Med. 2012;26:345–50.
14. Daisne J.-F., Sibomana M., Bol A., et al: Tri-dimensional automatic segmentation of PET
volumes based on measured source-to-background ratios: influence of reconstruction
algorithms. Radiother Oncol 2003; 69: pp. 247-250
15-Boellaard R, Delgado-Bolton R, Oyen WJ et al. FDG PET/CT: EANM procedure
guidelines for tumour imaging: version 2.0.European Association of Nuclear Medicine
(EANM). Eur J Nucl Med Mol Imaging. 2015;42(2):328-354.
16. Perou CM, Sorlie T, Eisen MB, et al. Molecular portraits of human breast tumours. Nature
2000; 406:747-752.
17-Goldhirsch A, Winer EP, Coates AS, et al. Personalizing the treatment of women with
early breast cancer: highlights of the St Gallen International Expert Consensus on the
Primary Therapy of Early Breast Cancer 2013. Ann Oncol 2013; 24:2206-2223.
18. Park S, Koo JS, Kim MS,et al. Characteristics and outcomes according to molecular
subtypes of breast cancer as classified by a panel of four biomarkers using
immunohistochemistry. Breast 2012; 21:50-57.
19. De Cicco C, Gilardi L, Botteri E, et al. Is [(18)F] fluorodeoxyglucose uptake by the
primary tumor a prognostic factor in breast cancer? Breast2013;22:39-43.
20. Mavi A, Cermik TF, Urhan M, et al. The effects of estrogen, progesterone, and C-erbB-2
receptor states on 18F-FDG uptake of primary breast cancer lesions. J Nucl Med
2007;48:1266-1272.
21. Osborne JR, Port E, Gonen M, et al. 18F-FDG PET of locally invasive breast cancer and
association of estrogen receptor status with standardised uptake value: microarray and
immunohistochemical analysis. J Nucl Med2010;51:543-550.
22. Buck A, Schirrmeister H, Kuhn T et al. FDG uptake in breast cancer: correlation with
biological and clinical prognostic parameters.Eur J Nucl Med Mol Imaging2002;29:1317-
1323.
23. Utech CI, Young CS, Winter PF. Prospective evaluation of fluorine-18
fluorodeoxyglucose positron emission tomography in breast cancer for staging of the axilla
related to surgery and immunocytochemistry.Eur J Nucl Med 1996;23:1588-1593.
24. Brock CS, Meikle SR, Price P. Does fluorine-18 fluorodeoxyglucose metabolic imaging
of tumours benefit oncology?Eur J Nucl Med1997;24:691-705.
25. Oshida M, Uno K, Suzuki M, Nagashima T, Hashimoto H, Yagata H, et al. Predicting the
prognoses of breast carcinoma patients with positron emission tomography using 2-deoxy2-fluoro[18F]-D-glucose.Cancer1998;82:2227-2234.
26. Avril N, Menzel M, Dose J, et al. Glucose metabolism of breast cancer assessed by 18FFDG PET: histologic and immunohistochemical tissue analysis. J Nucl Med2001;42:9-16.
27. Nishimura R, Osako T, Okumura Y, Hayashi M, Toyozumi Y, Arima N. Ki-67 as a
prognostic marker according to breast cancer subtype and a predictor of recurrence time in
primary breast cancer. Exp Ther Med 2010;1:747-754.
28. Dehdashti F, Mortimer JE, Siegel BA, Griffeth LK, et al. Positron tomographic
assessment of estrogen receptors in breast cancer: comparison with FDG-PET and in vitro
receptor assays. J Nucl Med. 1995;36(10):1766–1774.
29. Garcia Vicente AM, Castrejon AS, et al. 18F-FDG retention index and biologic prognostic
parameters in breast cancer. Clin Nucl Med. 2012;37(5):460–466.
30. Shimoda W, Hayashi M, Murakami K, Oyama T, et al. The relationship between FDG
uptake in PET scans and biological behavior in breast cancer. Breast Cancer.
2007;14(3):260–268. doi: 10.2325/jbcs.14.260.
31. Azambuja E, Cardoso F, de Castro G Jr, et al. Ki-6 as prognostic marker in early breast
cancer: a meta-analysis of published studies involving 12 155 patients.Br J Cancer
2007;96:1504-1513.
32. Yerushalmi R, Woods R, Ravdin PM, Hayes MM, Gelmon KA. Ki67 in breast cancer:
prognostic and predictive potential. Lancet Oncol 2010;11:174-183.
33. Urruticoechea A, Smith IE, Dowsett M. Proliferation marker Ki-67 in early breast cancer.
J Clin Oncol 2005;23:7212-7220.
34. Bos R, van Der Hoeven JJ, van Der Wall E, et al. Biologic correlates of
[18F]fluorodeoxyglucose uptake in human breast cancer measured by positron emission
tomography. J Clin Oncol 2002;20:379-387.
35. Buck A, Schirrmeister H, Kuhn T, et al. FDG uptake in breast cancer: correlation with
biological and clinical prognostic parameters. Eur J Nucl Med Mol Imaging 2002;29:1317-
1323.
36-Ito M, Shien T, Kaji M, Mizoo T, et al. Correlation between 18F-fluorodeoxyglucose
Positron Emission Tomography/computed Tomography and Clinicopathological Features
in Invasive Ductal Carcinoma of the Breast. Acta Med Okayama 2015; 69:333-338.
37-Ueda S, Tsuda H, Asakawa H, et al. Clinicopathological and prognostic relevance of
uptake level using 18F-fluorodeoxyglucose positron emission tomography/computed
tomography fusion imaging (18F-FDG PET/CT) in primary breast cancer. Jpn J Clin
Oncol 2008; 38:250-258.
38. Haffty BG, Yang Q, Reiss M, et al. Locoregional relapse and distant metastasis in
conservatively managed triple negative early stage breast cancer.J Clin
Oncol2006;24:5652-5657.
39. Basu S, Chen W, Tchou J, et al. Comparison of triple-negative and estrogen receptorpositive/progesterone receptor-positive/HER2-negative breast carcinoma using quantitative
fluorine-18 fluorodeoxyglucose/positron emission tomography imaging parameters: a
potentially useful method for disease characterization. Cancer2008;112:995-1000.
Altun Tuzcu, S., Gezici, A., Taşdemir, B., Kaplan, İ., et al. (2019). Is there an association between immunohistochemical parameters of breast cancer and metabolic parameters obtained with 18F-fluorodeoxyglucose PET / CT?. International Archives of Medical Research, 11(2), 51-61.
AMA
Altun Tuzcu S, Gezici A, Taşdemir B, Kaplan İ, Büyükbayram H, Altun Çetin F. Is there an association between immunohistochemical parameters of breast cancer and metabolic parameters obtained with 18F-fluorodeoxyglucose PET / CT?. IAMR. December 2019;11(2):51-61.
Chicago
Altun Tuzcu, Sadiye, Ayten Gezici, Bekir Taşdemir, İhsan Kaplan, Hüseyin Büyükbayram, and Feray Altun Çetin. “Is There an Association Between Immunohistochemical Parameters of Breast Cancer and Metabolic Parameters Obtained With 18F-Fluorodeoxyglucose PET / CT?”. International Archives of Medical Research 11, no. 2 (December 2019): 51-61.
EndNote
Altun Tuzcu S, Gezici A, Taşdemir B, Kaplan İ, Büyükbayram H, Altun Çetin F (December 1, 2019) Is there an association between immunohistochemical parameters of breast cancer and metabolic parameters obtained with 18F-fluorodeoxyglucose PET / CT?. International Archives of Medical Research 11 2 51–61.
IEEE
S. Altun Tuzcu, A. Gezici, B. Taşdemir, İ. Kaplan, H. Büyükbayram, and F. Altun Çetin, “Is there an association between immunohistochemical parameters of breast cancer and metabolic parameters obtained with 18F-fluorodeoxyglucose PET / CT?”, IAMR, vol. 11, no. 2, pp. 51–61, 2019.
ISNAD
Altun Tuzcu, Sadiye et al. “Is There an Association Between Immunohistochemical Parameters of Breast Cancer and Metabolic Parameters Obtained With 18F-Fluorodeoxyglucose PET / CT?”. International Archives of Medical Research 11/2 (December 2019), 51-61.
JAMA
Altun Tuzcu S, Gezici A, Taşdemir B, Kaplan İ, Büyükbayram H, Altun Çetin F. Is there an association between immunohistochemical parameters of breast cancer and metabolic parameters obtained with 18F-fluorodeoxyglucose PET / CT?. IAMR. 2019;11:51–61.
MLA
Altun Tuzcu, Sadiye et al. “Is There an Association Between Immunohistochemical Parameters of Breast Cancer and Metabolic Parameters Obtained With 18F-Fluorodeoxyglucose PET / CT?”. International Archives of Medical Research, vol. 11, no. 2, 2019, pp. 51-61.
Vancouver
Altun Tuzcu S, Gezici A, Taşdemir B, Kaplan İ, Büyükbayram H, Altun Çetin F. Is there an association between immunohistochemical parameters of breast cancer and metabolic parameters obtained with 18F-fluorodeoxyglucose PET / CT?. IAMR. 2019;11(2):51-6.
All articles published by DUJE are licensed under the Creative Commons Attribution 4.0 International License. This permits anyone to copy, redistribute, remix, transmit and adapt the work provided the original work and source is appropriately cited.