Department of Thoracic and Vascular Surgery, Centre Hospitalier Universitaire Vaudois and University of Lausanne, Lausanne, Switzerland.
Clin Nucl Med. 2011 Jun;36(6):465-7. doi: 10.1097/RLU.0b013e31820aa268.
A 75-year-old man, with no significant symptoms, was referred after the incidental finding of a left hilar pulmonary mass of 30 × 30 × 50 mm on a chest CT. F-18 fluorodeoxyglucose (FDG) PET/CT demonstrated a heterogeneous, moderate radiotracer uptake in the mass (SUV 3.5 g/mL). Bronchoscopy revealed a discrete extrinsic compression of the superior bronchus without endobronchial lesion. Endobronchial fine-needle biopsies could not deliver a final diagnosis. The patient underwent upper lobectomy by thoracotomy. Histopathology revealed a benign intrapulmonary schwannoma. Although rare, intermediate FDG uptake in the settings of a pulmonary mass should include schwannoma in the differential diagnosis.
一位 75 岁男性,无明显症状,胸部 CT 偶然发现左肺门肺肿块,大小为 30×30×50mm,遂就诊。F-18 氟脱氧葡萄糖(FDG)PET/CT 显示肿块内存在异质性、中度放射性示踪剂摄取(SUV 3.5g/ml)。支气管镜检查显示上支气管有明显的外在压迫,无支气管内病变。支气管内细针活检无法提供明确诊断。患者行胸腔镜肺上叶切除术。组织病理学检查显示为良性肺内神经鞘瘤。尽管罕见,但在肺部肿块的情况下,中等 FDG 摄取应包括神经鞘瘤的鉴别诊断。