Estrogen receptor imaging with 17α-[123I]iodovinyl-11β-methoxyestradiol (MIVE2)—part II. Preliminary results in patients with breast carcinoma

M.J. Ribeiro-Barras , C. Foulon , J.L. Baulieu , D. Guilloteau , P. Bougnoux , J. Lansac , J.C. Besnard
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引用次数: 35

Abstract

17α-[123I]Iodovinyl-11β-methoxyestradiol was injected into 19 women: group 1 (n = 8), initial evaluation of breast cancer; group 2, (n = 11) postoperative follow-up including 9 patients with bone metastases. The primary tumor (size: 8–10 mm) was visualized by breast tomoscintigraphy in 24 patients of group 1 with high estrogen receptor concentration (162–445 fmol/mg) and was not detectable in 4 patients with low estrogen receptor concentration (6–32 fmol/mg). Axillary lymph node metastases were detected in 1 patient of group 1 and in 1 patient of group 2. In 4 patients of group 2 with previous primary tumor containing estrogen receptors, MIVE2 uptake in bone metastases was demonstrated. MIVE2 scintigraphy is an original, specific and non-invasive method for breast cancer estrogen receptor imaging in primary and in metastatic tumors.

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17α-[123I]碘乙烯基-11β-甲氧基雌二醇(MIVE2)雌激素受体成像ⅱ部分。乳腺癌患者的初步结果
17α-[123I]碘乙烯基-11β-甲氧基雌二醇注射19例:1组(n = 8),初步评价乳腺癌;第二组(n = 11)术后随访,包括9例骨转移患者。1组高雌激素受体浓度组(162 ~ 445 fmol/mg) 24例患者经乳腺断层显像可见原发肿瘤(大小:8 ~ 10 mm),低雌激素受体浓度组(6 ~ 32 fmol/mg) 4例患者未见原发肿瘤。组1例腋窝淋巴结转移,组2例腋窝淋巴结转移。在4例既往原发肿瘤含有雌激素受体的2组患者中,证实了骨转移瘤对MIVE2的摄取。MIVE2闪烁成像是原发性和转移性乳腺癌雌激素受体成像的一种新颖、特异、无创的方法。
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