与COVID-19疫苗接种相关的[18F]FDG激发性淋巴结在患有边缘区域B细胞淋巴瘤的患者中
Paulina Ziolkowska1, Alicja Salyga2,3, Monika Joks4
1Department of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland. paulina_z1@vp.pl.
Nuclear medicine review. Central & Eastern Europe
|July 5, 2024
概括
在COVID-19疫苗接种后,FDG PET/CT扫描可以显示淋巴结的吸收增加. 这一案例凸显了在解释淋巴瘤患者的扫描时考虑疫苗接种状态的重要性.
科学领域:
- 核医学就是核医学.
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
背景情况:
- 18F-FDG PET/CT对于癌症的诊断和监测至关重要.
- 接种COVID-19疫苗可能会导致暂时的下淋巴腺病变,可能会使PET/CT解释复杂化.
- 准确的解释至关重要,特别是在患有血液性恶性瘤的患者中.
研究的目的:
- 在COVID-19疫苗接种后,报告下淋巴结18F-FDG吸收增加的情况.
- 强调疫苗诱导的淋巴腺病在淋巴瘤患者中所带来的诊断挑战.
- 强调将成像检查结果与患者疫苗接种史相关联的重要性.
主要方法:
- 一个48岁患者的案例研究,新诊断的边缘区域B细胞淋巴瘤.
- 18F-FDG PET/CT成像是在接收瑞生物科技COVID-19疫苗后2天进行的.
- 在最近接种疫苗的背景下对成像检测结果的审查.
主要成果:
- 在PET/CT扫描显示增加了18F-FDG的吸收在骨淋巴结.
- 这种吸收发生在COVID-19疫苗接种后不久.
- 这一发现模仿了潜在的疾病进展或转移.
结论:
- 在COVID-19疫苗接种后可以发生18F-FDG的轴心淋巴结吸收.
- 在解释淋巴瘤患者的PET/CT扫描时,临床医生必须考虑最近的接种疫苗.
- 从恶性瘤中区分与疫苗有关的变化对于适当的患者管理至关重要.
相关概念视频
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