一个与EBV相关的脏炎症性伪瘤病例
Sho Akasaka1, Nobuko Tokunaga1, Yoshifumi Sugawara1
1Department of Diagnostic Radiology, NHO Shikoku Cancer Center, Matsuyama, Japan.
Radiology case reports
|July 23, 2024
概括
与爱斯坦-巴尔病毒相关的脏炎症伪瘤 (IPT) 是罕见的,在成像上模仿恶性瘤. 这一案例凸显了诊断方面的挑战,以及对这些脏质量的准确差异化需求.
科学领域:
- 在瘤学瘤学.
- 病毒学 病毒学
- 放射学 放射学是一门学科.
背景情况:
- 炎性伪瘤 (IPT) 是一种罕见的实体.
- 爱斯坦-巴尔病毒 (EBV) 经常与脏IPTs有关.
- 从放射学上区分脏IPT与恶性脏瘤具有挑战性.
研究的目的:
- 在老年男性患者中报告EBV相关的脏IPT病例.
- 为了说明与EBV相关的脏IPT的成像特征.
- 强调在区分脏IPT与恶性瘤方面的诊断困难.
主要方法:
- 用对比增强的计算机断层扫描 (CT) 来评估脏质量大小和生长.
- 磁共振成像 (MRI) 包括T1加权,T2加权和动态对比增强序列.
- 18F-氧葡萄糖 (FDG) 定子发射断层扫描/CT (PET/CT) 用于代谢活动评估.
- 脊髓切除术用于确定病理诊断.
主要成果:
- 70多岁的男性患者的脏质量在一年内从2.4厘米增长到3.9厘米.
- 核磁共振显示了一个具有特定信号强度和弱,渐进,不均增强的质量.
- FDG PET/CT显示,脏质量增加了FDG的吸收.
- 脊髓切除术后的病理诊断证实了与EBV相关的IPT.
结论:
- 与EBV相关的脏IPT可以呈现模仿恶性脏瘤的成像特征.
- 精确区分脏IPT与其他脏疾病仍然是一个诊断挑战.
- 骨切除术通常需要确定骨IPT的诊断和治疗.
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