病例报告:胸部瘤作为F-Choline PET/CT和F-FDG PET/CT的诊断陷
Karim Amrane1,2, Coline Le Meur3, Pierre Alemany4
1Department of Oncology, Regional Hospital of Morlaix, Morlaix, France.
Frontiers in oncology
|October 23, 2024
概括
在PET/CT扫描上,中神经瘤可以模仿癌症. 在中间体中增加18F-FDG和18F-胆PET/CT的吸收可能表明了神经瘤,而不是转移.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 核医学是一种核医学.
背景情况:
- 中质量可能会带来诊断上的挑战.
- 使用像18F-FDG和18F-Choline这样的标记物的正子发射断层扫描/计算机断层扫描 (PET/CT) 对于诊断和分期癌症至关重要.
- 胸部神经瘤是一种罕见的神经性瘤,可以发生在中.
研究的目的:
- 为了突出介质腺素瘤在PET/CT上被误诊为恶性瘤的潜力.
- 报告中中18F-FDG和18F-Choline摄入量增加的病例,这些病例归因于 schwannoma.
- 强调将成像检测结果与组织病理学相结合的重要性,以准确诊断.
主要方法:
- 关于两名患有中质块的患者的病例报告.
- 使用18F-FDG PET/CT和18F-Choline PET/CT进行成像.
- 用加多增强进行胸部MRI.
- 诊断的组织病理学确认.
主要成果:
- 一名70岁的妇女在右后中中显示18F-FDG吸收增加,后来被诊断为神经瘤.
- 一名患有前列腺癌的66岁男子在右后中间体中显示18F-胆的吸收增加,也被诊断为神经瘤.
- 胸部MRI显示,在两种情况下都有强烈的gadolinium增强,与 schwannoma 一致.
结论:
- 介质体中的 Schwannomas 可能会显示18F-FDG和18F-Choline的吸收增加.
- 这些发现可能导致诊断陷,在PET/CT上模仿恶性疾病.
- 组织学确认对于区分神经瘤与其他中关节病理是必不可少的.
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