通过F-FDG PET/CT揭示的广泛恶性血栓在患有乳头甲状腺癌的患者中
Merve Nida Calderon Tobar1, Lütfü Perktaş1, Hasan Önner1
1Selçuk University Faculty of Medicine, Department of Nuclear Medicine, Konya, Türkiye.
Molecular imaging and radionuclide therapy
|August 1, 2025
概括
一位患有甲状腺癌转移的患者出现了部疼痛. 图像检查显示,关静脉和心房中有恶性血栓,这表明癌症已经发病.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 血管医学 血管医学
背景情况:
- 转移性疾病可以呈现出各种症状,包括疼痛和神经系统缺陷.
- 宫脊椎转移是各种癌症的已知并发症.
- 大静脉中恶性血栓的形成可能表明已晚期或侵略性的恶性瘤.
研究的目的:
- 报告一种转移性甲状腺癌的病例,表现为椎病变和恶性血栓.
- 突出18F-氧葡萄糖正子发射断层扫描/计算机断层扫描 (18F-FDG PET/CT) 在诊断广泛的静脉干扰方面的实用性.
主要方法:
- 进行了宫脊椎的磁共振成像 (MRI).
- 宫病变的手术切除和病理检查.
- 18F-FDG PET/CT扫描用于系统评估.
主要成果:
- 核磁共振扫描显示C7脊椎体中的转移性病变导致宫狭窄.
- 病理学证实了转移性甲状腺癌.
- 18F-FDG PET/CT显示左侧内静脉向右心室延伸的吸收增加,与恶性血栓一致.
结论:
- 转移性甲状腺癌可以表现为脊髓干扰和广泛的静脉血栓.
- 18F-FDG PET/CT对于识别晚期甲状腺癌中恶性血栓的程度至关重要.
- 早期发现和治疗恶性血栓对于患者的治疗结果至关重要.
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