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锁骨上区良性神经鞘瘤:PET 扫描怀疑乳腺癌的假阳性淋巴结复发。

Benign schwannoma in supraclavicular region: a false-positive lymph node recurrence of breast cancer suspected by PET scan.

机构信息

Department of Gynecology and Obstetrics, University of Rome "Sapienza", V.le Del Policlinico, 155, 00161, Rome, Italy.

出版信息

Arch Gynecol Obstet. 2014 Sep;290(3):583-6. doi: 10.1007/s00404-014-3241-5. Epub 2014 Apr 18.

Abstract

INTRODUCTION

Positron emission tomography (PET) is the most accurate imaging modalities to detect malignancies. And it helps to take decisions regarding diagnosis, staging, recurrence, and therapeutical management.

CASE PRESENTATION

We report a case of a suspected supraclavicular lymph node relapse, diagnosed by PET-CT in a breast cancer patient. The lymph node was surgically removed in outpatient with local anesthesia. Histological findings diagnosed a benign Schwannoma. In this patient PET-CT failed to distinguish benign tumors from metastatic supraclavicular lymph nodes.

CONCLUSION

This case confirms the need to investigate histologically suspected supraclavicular lesions, during breast cancer follow up.

摘要

简介

正电子发射断层扫描(PET)是检测恶性肿瘤最准确的成像方式。它有助于做出关于诊断、分期、复发和治疗管理的决策。

病例介绍

我们报告了一例疑似锁骨上淋巴结复发的病例,该病例通过 PET-CT 诊断为乳腺癌患者。在门诊局部麻醉下手术切除淋巴结。组织学发现诊断为良性施万细胞瘤。在该患者中,PET-CT 未能区分良性肿瘤和转移性锁骨上淋巴结。

结论

该病例证实了在乳腺癌随访期间需要对疑似锁骨上病变进行组织学检查。

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