Department of Dermatology, University Hospitals Leicester NHS Trust, Leicester Royal Infirmary, Leicester, UK.
Br J Radiol. 2011 Aug;84(1004):e164-5. doi: 10.1259/bjr/74184796.
A 35-year-old male with classical Hodgkin's lymphoma (nodular sclerosing, grade 1 histology, clinical stage 2A) underwent a positron emission tomography (PET) scan to assess response to treatment. Half body CT PET imaging was obtained using a Siemens Biograph scanner from eyes to thighs. 405 MBq of 18-fluorodeoxyglucose (FDG) was injected with acquisition starting at 60 min. There was unexpected intense focal uptake in the superficial subcutaneous tissues of the abdomen, pelvis and lateral chest wall with overlying skin thickening seen on the CT component. This was initially of concern, but the patient was known to have a history of hidradenitis suppurativa (HS). On further examination, the radiological abnormalities corresponded to the clinical sites of involvement. To the best of our knowledge, this is the first documentation of the appearance of HS on PET scan.
一位 35 岁男性患有经典型霍奇金淋巴瘤(结节性硬化,1 级组织学,临床 2A 期),进行正电子发射断层扫描(PET)以评估治疗反应。使用西门子 Biograph 扫描仪从眼睛到大腿进行全身半 CT PET 成像。注射 405MBq 的 18-氟脱氧葡萄糖(FDG),从 60 分钟开始采集。在 CT 成分上可见到腹部、骨盆和侧胸壁的浅表皮下组织出现意外的强烈焦点摄取,伴有皮肤增厚。这最初引起了关注,但患者已知有化脓性汗腺炎(HS)病史。进一步检查发现,放射学异常与受累的临床部位相对应。据我们所知,这是 HS 在 PET 扫描上出现的首次记录。