Caballero Gullón L, Borrego Dorado I, Vázquez Albertino R
Unidad de Gestión Diagnóstica de Medicina Nuclear, Hospital Universitario Virgen del Rocío, Sevilla, España.
Rev Esp Med Nucl. 2010 Jan-Feb;29(1):29-31. doi: 10.1016/j.remn.2009.10.004. Epub 2009 Dec 6.
It is not uncommon to find two or more tumors in the same patient, usually based on similar etiologic factors or the use of radiotherapy and/or chemotherapy. This occurs quite often in the case of lung cancer. In this sense, the positron emission tomography with (18)F-FDG (FDG-PET) is widely used for the diagnosis and treatment of cancer patients. It is also especially useful in patients with solitary pulmonary nodule, bronchogenic carcinoma, head and neck cancer, colon cancer, tumors of unknown origin, lymphomas, etc. Its capacity to detect previously unsuspected second or third primary tumors has also been demonstrated. We report a clinical case showing how two synchronous cancers were incidentally detected in a 73-year old patient diagnosed with lung cancer and referred for (FDG-PET) study.
在同一患者体内发现两个或更多肿瘤的情况并不罕见,通常是基于相似的病因或放疗和/或化疗的使用。这种情况在肺癌患者中相当常见。从这个意义上说,正电子发射断层显像术(18)F-FDG(FDG-PET)被广泛用于癌症患者的诊断和治疗。它在孤立性肺结节、支气管肺癌、头颈癌、结肠癌、不明原发灶肿瘤、淋巴瘤等患者中也特别有用。其检测先前未被怀疑的第二或第三原发性肿瘤的能力也已得到证实。我们报告一例临床病例,展示了在一名被诊断为肺癌并转诊进行(FDG-PET)检查的73岁患者中如何偶然发现了两个同时发生的癌症。