在多发性骨髓瘤中的周围膜外膜性疾病
Alex Koichi1, Razvan Zemianschi1, Fathima Fijula Palot Manzil2
1From the University of Arkansas for Medical Sciences, Little Rock, AR.
Clinical nuclear medicine
|October 10, 2024
概括
多发性骨髓瘤中的外骨髓性疾病很少会影响脏. 这项研究强调了18F-FDG PET/CT检测到的3例围干涉,强调了需要仔细评估的必要性.
科学领域:
- 在瘤学瘤学.
- 核医学是一种核医学.
- 放射学 放射学是一门学科.
背景情况:
- 多发性骨髓瘤中的外骨髓性疾病 (EMD) 表示具有侵略性的疾病和不良预后.
- EMD通常会影响皮肤,肌肉,肺,淋巴结,肝脏和中枢神经系统等软组织.
- 脏或周围脏EMD很少发生,但可以发生在多发性骨髓瘤患者中.
研究的目的:
- 报告在多发性骨髓瘤中围腎外骨髓性疾病的呈现和诊断情况.
- 评估18F-FDG PET/CT在识别脏/周围脏EMD方面的实用性.
- 为了区分周围脏EMD与其他脏病理.
主要方法:
- 3名多发性骨髓瘤患者的病例系列,怀疑患有周围风脉EMD.
- 使用18F-FDG PET/CT进行诊断成像.
- 通过组织采样进行血细胞透的组织病理学确认.
主要成果:
- 在多发性骨髓瘤中发现了三例周围膜EMD病例.
- 18F-FDG PET/CT检测到了外骨膜干涉.
- 组织采样证实了血细胞透是原因.
结论:
- 围外骨髓瘤病是一种不常见的多发性骨髓瘤的表现.
- 18F-FDG PET/CT对于检测脏/周围脏EMD是有价值的,尽管脏生理吸收.
- 区分周围脏EMD与其他脏疾病对于适当的患者管理至关重要.
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