Gilardi L, Paganelli G
Division of Nuclear Medicine, European Institute of Oncology, via Ripamonti 435, 20141 Milano, Italy.
Ecancermedicalscience. 2011;5:236. doi: 10.3332/ecancer.2011.236. Epub 2011 Nov 17.
Gallbladder cancer is a highly fatal disease with poor prognosis; indeed, a high proportion of tumours are diagnosed at an advanced stage. Metastases are commonly detected in regional lymph nodes, liver and peritoneum, but unusual sites of spread such as thyroid and breast have also been described in the literature.We report a case of unsuspected muscle metastases, associated to pulmonary metastases, detected by FDG-PET/CT in a patient with previously removed gallbladder cancer and persistent episodes of haemoptysis.
胆囊癌是一种预后很差的高致死性疾病;事实上,很大一部分肿瘤在晚期才被诊断出来。转移通常发生在区域淋巴结、肝脏和腹膜,但文献中也描述了一些不常见的转移部位,如甲状腺和乳腺。我们报告一例未曾怀疑有肌肉转移且伴有肺转移的病例,该病例是通过氟代脱氧葡萄糖正电子发射断层显像/计算机断层扫描(FDG-PET/CT)在一名既往已切除胆囊癌且持续咯血的患者中发现的。