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FDG PET/CT in primary pulmonary lymphoepithelioma-like carcinoma
Aisheng Dong1, Jian Zhang, Yang Wang
1From the Departments of *Nuclear Medicine, and †Pathology, Changhai Hospital, Second Military Medical University, Shanghai, China.
Abstract:
Primary pulmonary lymphoepithelioma-like carcinomas are extremely rare tumors with better prognosis than other types of non-small cell lung cancer. An 83-year-old man presented with cough and hemoptysis for 2 weeks. Chest CT images showed a cylinder-shaped lesion in the right upper lung. F-FDG PET/CT showed strong FDG uptake (SUVmax, 34.5) of the tumor with ipsilateral hilar lymph node metastases. Video-assisted thoracoscopic lobectomy was performed. Histopathologically, the tumor was composed of epithelial tumor cells with high proliferation index (80%) and abundant lymphoplasmacytic cells, consistent with lymphoepithelioma-like carcinoma.
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