N-staging in large cell neuroendocrine carcinoma of the lung: diagnostic value of [18F]FDG PET/CT compared to the histopathology reference standard.
Hubertus HautzelYazan AlnajdawiWolfgang P FendlerChristoph RischplerKaid DarwicheWilfried E EberhardtLale UmutluDirk TheegartenMartin StuschkeMartin SchulerClemens AignerKen HerrmannTill PlönesPublished in: EJNMMI research (2021)
In LCNEC N-staging with [18F]FDG PET/CT demonstrates both high sensitivity and specificity, an excellent NPV but a slightly reduced PPV. Accordingly, preoperative invasive mediastinal staging may be omitted in cases with cN0 disease by [18F]FDG PET/CT. In [18F]FDG PET/CT cN1-cN3 stages histological confirmation is warranted, particularly in case of only moderate [18F]FDG uptake as compared to the LCNEC primary.