Zielonka Tadeusz M, Pietrzykowski Jacek, Wardyn Kazimierz A
Medical University of Warsaw, Department of Family Medicine, Poland.
Pol Merkur Lekarski. 2009 Aug;27(158):119-22.
A 52-year-old woman underwent a left nephrectomy for clear cell type renal carcinoma. One year after, chest computed tomography revealed the presence of small nodule (7 mm) in 9th segment of right lung. Radiological examination not make possible to determine a character of the nodule. Positron emission tomography with computed tomography in patient no demonstrated increased fluorodeoxyglucose uptake typical for malignant tumors. Diagnosis of the small peripheral nodules in the lung is very difficult. The most important specificity and sensitivity to distinguish benign from malignant was described for PET-CT. It is first paper in Poland about use of the PET-CT in differential diagnosis small nodules in lung.
一名52岁女性因透明细胞型肾癌接受了左肾切除术。一年后,胸部计算机断层扫描显示右肺第9段存在小结节(7毫米)。放射学检查无法确定结节的性质。该患者的正电子发射断层扫描与计算机断层扫描未显示出恶性肿瘤典型的氟脱氧葡萄糖摄取增加。肺部小周边结节的诊断非常困难。正电子发射断层扫描-计算机断层扫描(PET-CT)在区分良性与恶性方面具有最重要的特异性和敏感性。这是波兰关于PET-CT在肺部小结节鉴别诊断中应用的第一篇论文。