一名疑似肠系膜脂膜炎患者的正电子发射断层扫描-计算机断层扫描结果正常：活检仍是答案。
Normal Positron Emission Tomography-Computerized Tomogram in a Patient with Apparent Mesenteric Panniculitis: Biopsy Is Still the Answer.
作者信息
Ehrenpreis Eli D, Rao Archana S, Aki Robert, Brown Heather, Pae Thomas, Boiskin Ian
机构信息
Department of Gastroenterology, Rush University Medical Center, Chicago, Ill., USA.
出版信息
Case Rep Gastroenterol. 2009 Apr 29;3(1):131-137. doi: 10.1159/000213653.
Abstract
Mesenteric panniculitis (also known as sclerosing mesenteritis) is a chronic inflammatory disease of the mesenteric connective tissue. It is known to have a wide spectrum of clinical and radiological presentations. In general, biopsy is recommended for diagnosis; however, a recent study proposed that a negative positron emission tomography- computerized tomography (PET-CT) scan is accurate in differentiating benign and neoplastic mesenteric processes [Br J Radiol 2006;79:37-43]. The following case report questions the accuracy of PET-CT in this setting and confirms the requirement for biopsy to rule out the presence of mesenteric lymphoma.
摘要
肠系膜脂膜炎（也称为硬化性肠系膜炎）是一种肠系膜结缔组织的慢性炎症性疾病。已知其具有广泛的临床和放射学表现。一般而言，建议进行活检以明确诊断；然而，最近一项研究提出，正电子发射断层扫描-计算机断层扫描（PET-CT）扫描结果为阴性在鉴别良性和肿瘤性肠系膜病变方面具有准确性[《英国放射学杂志》2006年；79:37-43]。以下病例报告对PET-CT在这种情况下的准确性提出质疑，并证实需要进行活检以排除肠系膜淋巴瘤的存在。
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