查得越多，发现越多：1 型神经纤维瘤病患者的 FDG-PET CT 检查结果颇具挑战性。
The more you look, the more you find: challenging results on FDG-PET CT in a patient with neurofibromatosis type I.
机构信息
General Medical Oncology, UZ Leuven, Leuven, Belgium.
出版信息
BMC Med Imaging. 2014 May 29;14:19. doi: 10.1186/1471-2342-14-19.
BACKGROUND
FDG-PET/CT is part of the standard diagnostic management of a patients with a large variety of common and less common malignant tumors, based on the increased glucose metabolism within tumors.
CASE PRESENTATION
A hybrid fluorodeoxyglucose positron emission tomography and computed tomography (FDG-PET/CT) was performed in a neurofibromatosis patient to rule out relapse of malignant peripheral nerve sheet tumor. The scan revealed non-malignant neurofibromas, a testis seminoma and hypermetabolic syphilitic granulomata.
CONCLUSION
This case stresses the need to rule out infectious diseases when atypical hypermetabolic lesions are present.
背景
FDG-PET/CT 是标准诊断管理的一部分，适用于患有各种常见和不常见恶性肿瘤的患者，基于肿瘤内葡萄糖代谢增加。
病例介绍
对一名神经纤维瘤病患者进行了氟脱氧葡萄糖正电子发射断层扫描和计算机断层扫描（FDG-PET/CT），以排除恶性外周神经鞘瘤的复发。扫描显示非恶性神经纤维瘤、睾丸精原细胞瘤和高代谢性梅毒肉芽肿。
结论
当存在非典型高代谢性病变时，本病例强调需要排除传染病。
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