Higashiyama Shigeaki, Kawabe Joji, Hayashi Takehiro, Kurooka Hiroko, Oe Ai, Kotani Jin, Kawamura Etsushi, Shiomi Susumu
Department of Nuclear Medicine, Osaka City University, Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka, Japan.
Ann Nucl Med. 2008 May;22(4):327-30. doi: 10.1007/s12149-007-0101-4. Epub 2008 Jun 6.
A contrast-enhanced mass was revealed by computed tomography and magnetic resonance imaging in the left pelvic cavity of a 71-year-old man. Although the mass appeared to be a cavernous hemangioma, malignancy could not be ruled out. Abdominal angiography was performed but failed to rule out malignancy because it revealed vascular dislocation and encasement. (18)F-fluorodeoxyglucose positron emission tomography (FDG-PET) was then performed, and suggested a benign tumor, with a standardized uptake value (SUV) of 1.7. Following this finding, because the tumor was large and rupture could not be ruled out, we decided to perform surgery. The resected tumor was a benign cavernous hemangioma, consistent with the result obtained by FDG-PET.
计算机断层扫描和磁共振成像显示,一名71岁男性的左盆腔内有一个增强造影的肿块。尽管该肿块看似为海绵状血管瘤,但不能排除恶性的可能。进行了腹部血管造影,但由于显示血管移位和包绕,未能排除恶性病变。随后进行了(18)F-氟脱氧葡萄糖正电子发射断层扫描(FDG-PET),提示为良性肿瘤,标准化摄取值(SUV)为1.7。基于这一结果,由于肿瘤较大且不能排除破裂的可能,我们决定进行手术。切除的肿瘤为良性海绵状血管瘤,与FDG-PET检查结果一致。