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肺寄生虫卵肉芽肿在氟代脱氧葡萄糖正电子发射断层显像-计算机断层扫描(FDG PET-CT)上酷似肺恶性肿瘤。

Lung parasite ova granuloma mimicking lung malignancy on FDG PET-CT.

作者信息

Kao Pan-Fu, Tsao Thomas Chang-Yao, Kuo Kuang-Tai, Yue Chung-Tai, Lim Kung-Rong, Chou Yu-Hsiang

机构信息

Department of Nuclear Medicine, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan.

出版信息

Clin Nucl Med. 2009 Apr;34(4):243-4. doi: 10.1097/RLU.0b013e31819a1f28.

DOI:10.1097/RLU.0b013e31819a1f28
PMID:19300059
Abstract

A 60-year-old lady with mild fever, blood tinged sputum, and a left upper lung mass had whole body F-18 2-deoxy-D-glucose (FDG) positron emission tomography (PET)-computer tomography (CT) for cancer staging. The PET-CT imaging revealed FDG accumulation in the left upper lung lesion. The histopathology of the left upper lobe lung resection showed a parasite tunnel with necrosis, parasite ova, and foreign body giant cells. After surgery, eosinophiles in the peripheral blood dropped from 20% of white cell counts before operation to 5.5% at 7 weeks postoperation.

摘要

一位60岁女性,有低热、痰中带血及左上肺肿块,行全身F-18 2-脱氧-D-葡萄糖(FDG)正电子发射断层扫描(PET)-计算机断层扫描(CT)以进行癌症分期。PET-CT成像显示左上肺病变处有FDG聚集。左上叶肺切除标本的组织病理学检查显示有带坏死的寄生虫隧道、寄生虫卵及异物巨细胞。术后外周血嗜酸性粒细胞从术前白细胞计数的20%降至术后7周时的5.5%。

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