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肝片形吸虫病的 FDG PET/CT 表现。

Hepatic paragonimiasis revealed by FDG PET/CT.

机构信息

Department of Nuclear Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People's Republic of China.

出版信息

Clin Nucl Med. 2010 Sep;35(9):726-8. doi: 10.1097/RLU.0b013e3181ea33e5.

Abstract

A 72-year-old asymptomatic man with a hepatic lesion incidentally detected by ultrasonography in routine examination undertook fluorodeoxyglucose (FDG)-positron emission tomography/computed tomography for further evaluation. The images revealed increased FDG activity in the lesion, which was suggestive of malignancy. However, the pathologic examination demonstrated that the lesion was a granuloma caused by Paragonimus westermani, a lung fluke. Although increased FDG activity in the lung due to P. westermani infection is expected and reported previously, such lesion identified in the liver by FDG positron emission tomography/computed tomography is unusual.

摘要

一位 72 岁无症状男性,在常规体检的超声检查中偶然发现肝脏病变,为进一步评估,行氟脱氧葡萄糖(FDG)-正电子发射断层扫描/计算机断层扫描。图像显示病变部位 FDG 活性增加,提示恶性肿瘤。然而,病理检查显示病变为卫氏并殖吸虫引起的肉芽肿。尽管先前已有报道并预期卫氏并殖吸虫感染可导致肺部 FDG 活性增加,但 FDG 正电子发射断层扫描/计算机断层扫描在肝脏中发现此类病变并不常见。

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