Lee Eun Seong, Kim Tae-Sung, Yoo Chong Woo, Seo Sang-Soo, Kim Seok-Ki
Department of Nuclear Medicine, Research Institute and Hospital, National Cancer Center, Madu 1-dong, Ilsandong-gu, 410-769 Goyang-si Gyeonggi-do, Republic of Korea.
Department of Pathology, Research Institute and Hospital, National Cancer Center, Goyang-si Gyeonggi-do, Republic of Korea.
Nucl Med Mol Imaging. 2011 Sep;45(3):229-32. doi: 10.1007/s13139-011-0093-9. Epub 2011 Jul 15.
The findings of an ovarian mass with marked ascites and pleural effusion are highly suggestive of malignancy, especially in a postmenopausal female with an elevated level of CA-125. However, benign conditions such as Meigs' syndrome should be considered in the differential diagnosis if the primary mass shows benign features. (18)F-FDG is known to be useful to differentiate between malignant and benign diseases, and this utility is also promising in the case of ovarian tumor. We present here a case of Meigs' syndrome that was evaluated by (18)F-FDG PET/CT, and this helped the preoperative diagnosis be made. (18)F-FDG PET/CT is a promising modality to diagnose the pathological character of an ovarian tumor preoperatively, which can lead to a proper therapeutic plan.
发现卵巢肿物伴有大量腹水和胸腔积液高度提示恶性肿瘤,尤其对于绝经后女性且CA - 125水平升高者。然而,如果原发肿物表现出良性特征,在鉴别诊断时应考虑诸如梅格斯综合征等良性疾病。已知(18)F - FDG有助于鉴别恶性和良性疾病,在卵巢肿瘤的情况中这种作用也很有前景。我们在此呈现一例通过(18)F - FDG PET/CT评估的梅格斯综合征病例,这有助于进行术前诊断。(18)F - FDG PET/CT是一种很有前景的术前诊断卵巢肿瘤病理特征的方法,可据此制定恰当的治疗方案。