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肝上皮质血栓内皮质瘤与肝细胞癌同步呈现-一个病例报告

Anna Pan¹, Shuang Xu¹, Liang Hong¹

¹Department of Infectious Diseases, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.

Oxford medical case reports

|November 26, 2024

概括

同步性肝癌 (HCC) 和罕见的肝上皮质血管内皮瘤 (HEHE) 也可能发生. [68Ga]Ga-FAPI-04 PET/CT显示出用于检测HEHE的前景,有助于诊断和治疗选择.

科学领域:

肝胆道成像检查肝胆道成像检查
核医学是一种核医学.
在瘤学瘤学.

背景情况:

原发性肝上皮质血管内皮瘤 (HEHE) 是一种罕见的血管新生病.
HEHE表现出可变的行为,带来了诊断挑战.

研究的目的:

报告同步肝细胞癌 (HCC) 和HEHE的病例.
评估新型PET标记剂在诊断HEHE中的实用性.

主要方法:

一个43岁的男性患有同步HCC和HEHE的病例介绍.
使用[18F]-FDG PET/CT,[11C]-乙酸PET/CT和[68Ga]Ga-FAPI-04 PET/CT进行成像.
对CD31的免疫组织化学染色证实了HEHE诊断.

主要成果:

标准CT和MRI显示非特异性低声性肝损伤.
[18F]-FDG和[11C]-乙PET/CT没有可视化HEHE病变.
[68Ga]Ga-FAPI-04 PET/CT 清晰可视化了HEHE病变. 这些病变包括:
在最大的病变中诊断出HCC;较小的病变被确认为HEHE.

结论:

HCC和HEHE可以同步发生.
在肝病变的差异诊断中考虑HEHE.
[68Ga]Ga-FAPI-04 PET/CT显示了HEHE检测,分期和治疗选择的重大潜力.

关键词:

肝脏上皮质形血管内皮质瘤.肝细胞癌是肝细胞癌.

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