18F-FDG-PET/CT imaging of uterine cervical cancer recurrence in women with and without HIV infection

dc.contributor.authorLawal, Ismaheel Opeyemi
dc.contributor.authorOlolade, Kehinde
dc.contributor.authorPopoola, Gbenga O.
dc.contributor.authorAnkrah, Alfred O.
dc.contributor.authorVorster, Mariza
dc.contributor.authorMaes, Alex
dc.contributor.authorMokgoro, N.P. (Neo)
dc.contributor.authorVan de Wiele, Christophe
dc.contributor.authorSathekge, Mike Machaba
dc.contributor.emailmike.sathekge@up.ac.zaen_US
dc.date.accessioned2023-07-13T06:05:33Z
dc.date.available2023-07-13T06:05:33Z
dc.date.issued2022-03
dc.description.abstractBACKGROUND : To compare the rate, time and, pattern of recurrence of cervical cancer between patients with and without HIV infection and to determine factors predicting cervical cancer recurrence in patients evaluated by 18F-FDG-PET/CT. METHODS : We reviewed the 18F-FDG-PET/CT images of patients with histologically proven cervical carcinoma who were presenting with suspected recurrence. We extracted epidemiologic data, previous treatment, histologic subtype, HIV status, viral load and CD4 counts from the electronic laboratory database and the referral form for the 18F-FDG-PET/CT study. RESULTS : We studied 303 women including 112 HIV-infected patients. FIGO stage III disease was present in 131 patients. Of 198 patients with recurrence, 74 were HIV-infected while 124 were not (P=0.849). HIV infected patients were younger (41.99±9.30 years) compared to HIV-uninfected (50.19±11.09), P<0.001. Local recurrence was present in 125 patients while 100 patients had a distant recurrence. Recurrence occurred at a single site in 88 patients and two or more sites in 110 patients. No significant difference in the recurrent patterns between HIV-infected and uninfected patients. Median time to recurrence was 10.50 months (range: 6.00-156.00) among HIV-infected versus 12.00 months (IQR:7.00-312.00) among the uninfected, P=0.065. FIGO stage III (P=0.042) and the presence of histological sub-types other than SCC (P=0.005) were significant predictors of recurrence. HIV infection by itself was not significant in predicting recurrence (P=0.843). CONCLUSIONS : HIV infection has no significant impact on the rate, time or pattern of recurrence in women with suspected cervical carcinoma recurrence. Advanced disease and histological variant other than SCC are predictive of recurrence.en_US
dc.description.departmentNuclear Medicineen_US
dc.description.librarianhj2023en_US
dc.description.urihttps://www.minervamedica.it/it/riviste/nuclear-med-molecular-imaging/index.phpen_US
dc.identifier.citationLawal, I.O., Ololade, K.O., Popoola, G.O. et al. 2022, '18F-FDG-PET/CT imaging of uterine cervical cancer recurrence in women with and without HIV infection', Quarterly Journal of Nuclear Medicine and Molecular Imaging, vol. 66, no. 1, pp. 52-60, doi : 10.23736/S1824-4785.19.03156-X.en_US
dc.identifier.issn1824-4785 (print)
dc.identifier.issn1827-1936 (online)
dc.identifier.other10.23736/S1824-4785.19.03156-X
dc.identifier.urihttp://hdl.handle.net/2263/91387
dc.language.isoenen_US
dc.publisherEdizioni Minerva Medicaen_US
dc.rights© 2022 Edizioni Minerva Medica.en_US
dc.subjectFluorodeoxyglucose F18en_US
dc.subjectPositron emission tomography/computed tomography (PET/CT)en_US
dc.subjectUterine cervical neoplasmsen_US
dc.subjectCarcinoma, squamous cellen_US
dc.subjectRecurrenceen_US
dc.subjectHIV infectionsen_US
dc.subjectHuman immunodeficiency virus (HIV)en_US
dc.subjectHealth sciences articles SDG-03en_US
dc.subject.otherSDG-03: Good health and well-being
dc.title18F-FDG-PET/CT imaging of uterine cervical cancer recurrence in women with and without HIV infectionen_US
dc.typePostprint Articleen_US

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