Table 2. Therapeutic outcome of patients after administration of the initial chemotherapy.
No. | Completed cycles of initial chemotherapy | % change in tumor size after initial chemotherapy | RECIST criteria | Intervention after initial chemotherapy | Post-surgical pathological assessment | Baseline FDG-SUVmax | % change in SUVmax at 2nd cycle | Metabolic response at 2nd cycle | Comments |
1 | 6 | −25.6 | PR | Surgery | Grade 2 | 9.8 | −47.1 | Response | The patient received endocrine therapy and showed no progression of disease for 6 months after surgery |
2 | 6 | −54.5 | PR | Surgery | Grade 2 | 8.5 | −63.3 | Response | The patient received adjuvant endocrine therapy and no evidence of relapse was found by routine imaging for 8 months after surgery |
3 | 2 | −40 | PR | - | - | 10.3 | −63 | Response | The patient declined further treatment after the completion of 2 cycles and was therefore withdrawn from the study |
4 | 6 | −25.4 | PR | Surgery | Grade 1b | 4.4 | −41.4 | Response | The patient received adjuvant endocrine therapy and no evidence of relapse was found by routine imaging for 7 months after surgery |
5 | 5 | −13.4 | SD | Surgery | Grade 0 | 6.8 | −11.8 | Nonresponse | The patient received adjuvant endocrine therapy and locoregional radiotherapy and no evidence of relapse was found by routine imaging for 7 months after surgery |
6 | 2 | 40 | PD | Surgery | Grade 0 | 23.2 | 12.7 | Nonresponse | The patient underwent adjuvant chemotherapy and locoregional radiotherapy, but relapse in the lung and bones was detected by CT scans 6 months after surgery. |
7 | 2 | −4.9 | PD | 2nd line chemotherapy | - | 17.8 | −8.5 | Nonresponse | Disease progression of primary and metastatic lesions of the lung and bones was detected by FDG-PET/CT scan after administration of 2 cycles of the initial chemotherapy |
PR,partial response; SD,stable disease; PD,progressive disease; Grade 2, disappearance or marked degeneration of two-thirds or more of tumor cells; Grade 1b, disappearance or marked degeneration of one-third to less than two-thirds of tumor cells; Grade 0, no change in tumor cells.