The microenvironment in the human lung partly determines the site of the first metastasis
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The microenvironment in the human lung partly determines the site of the first metastasis. / Yanar, Merve; Abel, Florian; Haalck, Thomas; Klutmann, Susanne; Schumacher, Udo.
In: ANTICANCER RES, Vol. 34, No. 7, 01.07.2014, p. 3845-9.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - The microenvironment in the human lung partly determines the site of the first metastasis
AU - Yanar, Merve
AU - Abel, Florian
AU - Haalck, Thomas
AU - Klutmann, Susanne
AU - Schumacher, Udo
N1 - Copyright© 2014 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved.
PY - 2014/7/1
Y1 - 2014/7/1
N2 - BACKGROUND: Due to local ventilation and perfusion differences in the pulmonary lobes, the microenvironmental influence on metastasis formation in the lung can be studied. We, therefore, investigated whether the anatomical distribution of first lung metastases follow a particular pattern.MATERIALS AND METHODS: Thirty-three out of 273 patients with melanoma who underwent 18F-fluorodeoxyglucose positron emission tomography and computed tomography (18FDG-PET/CT) were identified as patients with detected primary pulmonary metastases. All solitary metastases were allocated to the appropriate lung segment.RESULTS: Segment L3 had the significantly highest number of metastases (n=11; p<0.001). Overall, both upper lung lobes manifested numerously more metastases in comparison to the lower lobes (26 metastases (70%) vs. 11 metastases (30%); p<0.001).CONCLUSION: Our results provide novel information supporting the hypothesis that pulmonary metastases occur prevalently in the upper lung segments.
AB - BACKGROUND: Due to local ventilation and perfusion differences in the pulmonary lobes, the microenvironmental influence on metastasis formation in the lung can be studied. We, therefore, investigated whether the anatomical distribution of first lung metastases follow a particular pattern.MATERIALS AND METHODS: Thirty-three out of 273 patients with melanoma who underwent 18F-fluorodeoxyglucose positron emission tomography and computed tomography (18FDG-PET/CT) were identified as patients with detected primary pulmonary metastases. All solitary metastases were allocated to the appropriate lung segment.RESULTS: Segment L3 had the significantly highest number of metastases (n=11; p<0.001). Overall, both upper lung lobes manifested numerously more metastases in comparison to the lower lobes (26 metastases (70%) vs. 11 metastases (30%); p<0.001).CONCLUSION: Our results provide novel information supporting the hypothesis that pulmonary metastases occur prevalently in the upper lung segments.
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Female
KW - Fluorodeoxyglucose F18
KW - Humans
KW - Lung
KW - Lung Neoplasms
KW - Male
KW - Melanoma
KW - Middle Aged
KW - Multimodal Imaging
KW - Positron-Emission Tomography
KW - Radiopharmaceuticals
KW - Tomography, X-Ray Computed
KW - Tumor Microenvironment
M3 - SCORING: Journal article
C2 - 24982412
VL - 34
SP - 3845
EP - 3849
JO - ANTICANCER RES
JF - ANTICANCER RES
SN - 0250-7005
IS - 7
ER -