Abstract
Colorectal cancer (CRC) is the second most common cause of death from cancer in both the UK and the US. The incidence increases with age, and the disease is much more common in Western industrialized countries that have a high-fat, low-fiber diet. In most cases, CRC develops over a period of years in a preexisting adenomatous polyp (the “adenoma-carcinoma sequence”). Knowledge of this pathway has led to the development of screening programs using colonoscopy or barium enema. The size of the polyp determines the risk of malignant change; only a small percentage of polyps will develop into cancers. Those less than 1cm have less than a 1% chance of containing malignant cells, whereas half of those over 2cm are malignant. Approximately 3% of patients with colorectal cancer will have a second or synchronous tumor at the time of presentation.
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Delbelke D, Vitola J, Sandler MP, et al. Staging recurrent colorectal carcinoma with PET. J Nucl Med 1997;38:1196–1201.
Donckier V, Van Laethem JL, Goldman S, et al. FDG-PET as a tool for early recognition of incomplete tumor destruction after radiofrequency ablation for liver metastases. J Surg Oncol 2003;84:215–223.
Drenth JP, Nagengast FM, Oyen WJ. Evaluation of premalignant colonic abnormalities: endoscopic validation of FDG-PET findings. Eur J Nucl Med 2001;28:1766–1769.
Even-Sapir E, Parag Y, Lerman H, et al. Detection of recurrence in patients with rectal cancer: PET/CT after abdominoperineal or anterior resection. Radiology 2004;232:815–822.
Fernandez FG, Drebin JA, Linehan DC, Dehdashti F, Siegel BA, Strasberg SM. Five-year survival after resection of hepatic metastases from colorectal cancer in patients screened by positron emission tomography with F-18 fluorodeoxyglucose (FDG-PET). Ann Surg 2004;240:438–447.
Flanagan FL, Dehdashti F, Ogunbiyi OA, et al. Utility of FDG-PET for investigating unexplained plasma CEA evaluation in patients with colorectal cancer. Ann Surg 1998;227:319–323.
Fong Y, Saldinger P, Akhurst T, et al. Utility of 18F-FDG positron emission tomography scanning on selection of patients for resection of hepatic colorectal metastases. Am J Surg 1999;178:282–287.
Greene FL, Page DL, Fleming ID, et al. AJCC Cancer Staging Manual, Sixth Edition. New York: Springer, 2002.
Heriot AG, Hicks RJ, Drummond EG, et al. Does positron emission tomography change management in primary rectal cancer? A prospective assessment. Dis Colon Rectum 2004;47:451–458.
Heubner RH, Park KC, Sheperd JE, et al. A meta-analysis of the literature for whole body FDG PET detection of recurrent colorectal cancer. J Nucl Med 2000;41:1177–1189.
Kostakoglu L, Goldsmith SJ. 18F-FDG PET evaluation of the response to therapy for lymphoma and for breast, lung and colorectal carcinoma. J Nucl Med 2003;44:224–239.
Lai DT, Fulham M, Stephen MS, et al. The role of whole body positron emission tomography with FDG in identifying operable colorectal cancer metastases to the liver. Arch Surg 1996;131:703–707.
Meyer M. Diffusely increased colonic F-18 FDG uptake in acute enterocolitis. Clin Nucl Med 1995;20:434–435.
Schiepers C, Penninckx F, De Vadder N, et al. Contribution of PET in the diagnosis of recurrent colorectal cancer: comparison with conventional imaging. Eur J Surg Oncol 1995;21:517–522.
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;240:1027–1034.
Tatlidil R, Jadvar H, Bading JR, Conti PS. Incidental colonic FDG uptake: correlation with colonoscopy and histopathology. Radiology 2002;224:783–787.
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Clarke, J. (2007). Colorectal Cancer. In: PET/CT in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-84628-504-2_5
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DOI: https://doi.org/10.1007/978-1-84628-504-2_5
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