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胸腔外恶性肿瘤支气管内转移的 FDG PET/CT。

FDG PET/CT in endobronchial metastases from extrathoracic malignancies.

机构信息

From the Departments of *Nuclear Medicine, †Thoracic Surgery, and ‡Pathology, Changhai Hospital, Shanghai, China.

出版信息

Clin Nucl Med. 2014 May;39(5):446-9. doi: 10.1097/RLU.0b013e3182817d40.

Abstract

Metastasis to the bronchus from extrathoracic malignancy is a rare event. We present 2 cases of endobronchial metastases from extrathoracic tumors with FDG PET/CT findings. One patient had a hypermetabolic endobronchial metastasis from breast cancer. The other patient had a hypermetabolic endobronchial metastasis from hepatocellular carcinoma. Both the endobronchial metastases were confirmed by bronchoscopic biopsy. These 2 cases indicate that FDG PET/CT is useful for detecting endobronchial metastases, and endobronchial metastasis should be included in the differential diagnosis of abnormal endotracheal or endobronchial FDG accumulation in patients with histories of malignant tumors.

摘要

支气管外肿瘤的支气管内转移是一种罕见的事件。我们展示了 2 例来自胸外肿瘤的 FDG PET/CT 表现的支气管内转移。1 例患者有乳腺癌的高代谢性支气管内转移。另 1 例患者有肝细胞癌的高代谢性支气管内转移。这 2 例支气管内转移均通过支气管镜活检证实。这 2 例表明,FDG PET/CT 可用于检测支气管内转移,对于有恶性肿瘤病史的患者,异常气管内或支气管内 FDG 聚集,应包括支气管内转移的鉴别诊断。

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