Arai Hiromasa, Oshiro Hisashi, Yamanaka Sumitaka, Yukawa Norio, Wada Nobuyuki, Rino Yasushi, Watanuki Yuji, Yamanaka Shoji, Inayama Yoshiaki, Lee Jin, Nakayama Haruhiko, Masuda Munetaka
Department of Surgery, Yokohama City University, School of Medicine.
J Clin Exp Hematop. 2009 May;49(1):39-44. doi: 10.3960/jslrt.49.39.
There are several reports describing [18F] fluorodeoxyglucose positron emission tomography (FDG-PET) findings in patients with lymphomatoid granulomatosis (LYG). We report a case of grade I LYG that showed increased uptake of FDG. The patient was a 63-year-old Japanese male who underwent an FDG-PET/computed tomography (CT) scan in screening for a malignant lesion. Increased uptake of FDG [maximum standard uptake value (SUV(max)), 3.7] was observed in the right hilar region in FDG-PET and enhanced CT revealed a round, abnormal mass that also showed increased FDG uptake. The patient had no previous symptoms. A tumor biopsy was performed and the histological diagnosis was grade I LYG. Therefore, increased SUV(max) in FDG-PET might be useful for diagnosing of LYG.
有几份报告描述了淋巴瘤样肉芽肿病(LYG)患者的[18F]氟脱氧葡萄糖正电子发射断层扫描(FDG-PET)结果。我们报告了一例I级LYG病例,该病例显示FDG摄取增加。患者为一名63岁的日本男性,在筛查恶性病变时接受了FDG-PET/计算机断层扫描(CT)。FDG-PET显示右肺门区域FDG摄取增加[最大标准摄取值(SUV(max)),3.7],增强CT显示一个圆形异常肿块,也显示FDG摄取增加。该患者既往无任何症状。进行了肿瘤活检,组织学诊断为I级LYG。因此,FDG-PET中SUV(max)增加可能有助于LYG的诊断。