恶性门静脉血栓瘤没有明显的肝脏帕伦基马群体在氧葡萄糖正子发射断层扫描/计算机断层扫描上
Piyush Chandra1, Ashish Sethi2, Sheela Chinnappan3
1Department of Nuclear Medicine, Zydus Hospitals, Gujarat, India.
概括
在肝细胞癌 (HCC) 中的门静脉瘤血栓形成 (PVTT) 表明生存率差. 这一案例突出了B型肝炎患者中孤立的恶性PVTT,在FDG PET-CT上没有可见的肝脏质量.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 门静脉瘤血栓形成 (PVTT) 是肝细胞癌 (HCC) 的常见并发症.
- 在HCC患者中,PVTT与预后不佳和生存率降低有关.
- 恶性PVTT通常是由肝血管内直接的瘤扩散引起的.
研究的目的:
- 呈现一种异常的孤立恶性门静脉瘤血栓瘤 (PVTT) 病例.
- 为了说明FDG PET-CT在识别PVTT的诊断实用性.
- 为了突出PVTT的病例,患者患有慢性乙型肝炎感染,没有明显的初级肝脏质量.
主要方法:
- 案例报告的呈现方式.
- 采用了18F-氧葡萄糖阳子发射断层扫描-计算机断层扫描 (FDG PET-CT) 成像.
- 临床和放射学相关性.
主要成果:
- FDG PET-CT揭示了孤立的恶性门静脉瘤血栓瘤 (PVTT).
- 该患者有慢性乙型肝炎感染史.
- 在成像上,在肝膜中没有明显的肝细胞癌 (HCC) 质量.
结论:
- 孤立的恶性PVTT可以在没有可检测的初级肝脏质量的情况下发生.
- FDG PET-CT是诊断PVTT的一个有价值的工具,即使在非典型的呈现.
- 这一案例强调了在患有慢性乙型肝炎和无法解释的门静脉异常的患者中考虑PVTT的重要性.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
92
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
92
Hepatic Portal System
1.3K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
1.3K
Esophageal Varices-II: Clinical Features and Management
67
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
67


