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F-18 FDG PET/CT 检查发现的子宫上皮样血管肉瘤

Uterine Epithelioid Angiosarcoma on F-18 FDG PET/CT.

作者信息

Hwang Jae Pil, Lim Sang Moo

机构信息

Department of Nuclear Medicine, Korea Institute of Radiological and Medical Sciences, Nowon-Gil 75, Gongneung-Dong, , Nowon-Gu Seoul, 139-706 Korea.

Department of Nuclear Medicine, Korea Institute of Radiological and Medical Sciences, Nowon-Gil 75, Gongneung-Dong, , Nowon-Gu Seoul, 139-706 Korea ; Department of Molecular Imaging Research Center, Korea Institute of Radiological and Medical Sciences, Seoul, Korea.

出版信息

Nucl Med Mol Imaging. 2013 Jun;47(2):134-7. doi: 10.1007/s13139-013-0191-y. Epub 2013 Jan 24.

DOI:10.1007/s13139-013-0191-y
PMID:24900095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4041971/
Abstract

Uterine epithelioid angiosarcoma can have conventional imaging characteristics similar to those of other uterine tumors, such as leiomyoma, leiomyosarcomas or hemangioendothelioma. Uterine epithelioid angiosarcoma exhibiting increased fluorine-18 fluorodeoxyglucose (F-18 FDG) activity can be misdiagnosed. A 61-year-old woman who was diagnosed with uterine epithelioid angiosarcoma underwent F-18 FDG positron emission tomography/computed tomography (PET/CT) as a part of the pretreatment work up for surgery. F-18 FDG PET/CT showed an intense F-18 FDG uptake in the uterus in addition to increased F-18 FDG uptake at the paraaortic and aortocaval lymph nodes. To our knowledge, this is the first case report of intense F-18 FDG uptake in uterine epithelioid angiosarcoma in Korea.

摘要

子宫上皮样血管肉瘤可具有与其他子宫肿瘤(如平滑肌瘤、平滑肌肉瘤或血管内皮瘤)相似的传统影像学特征。表现出氟-18氟脱氧葡萄糖(F-18 FDG)活性增加的子宫上皮样血管肉瘤可能会被误诊。一名61岁被诊断为子宫上皮样血管肉瘤的女性接受了F-18 FDG正电子发射断层扫描/计算机断层扫描(PET/CT),作为手术前预处理检查的一部分。F-18 FDG PET/CT显示子宫内F-18 FDG摄取强烈,此外腹主动脉旁和主动脉腔静脉淋巴结的F-18 FDG摄取也增加。据我们所知,这是韩国首例子宫上皮样血管肉瘤F-18 FDG摄取强烈的病例报告。

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本文引用的文献

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Adrenal epithelioid angiosarcoma metastatic to the epicardium: diagnosis by 18F-FDG PET/CT.肾上腺上皮样血管肉瘤转移至心外膜:18F-FDG PET/CT 诊断。
Clin Nucl Med. 2012 Sep;37(9):914-5. doi: 10.1097/RLU.0b013e318262af6b.
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Epithelioid angiosarcoma with metastatic disease after endovascular therapy of abdominal aortic aneurysm.腹主动脉瘤血管内治疗后发生转移的上皮样血管肉瘤。
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Int J Gynecol Cancer. 2007 Jan-Feb;17(1):280-4. doi: 10.1111/j.1525-1438.2007.00800.x.
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Cutaneous angiosarcoma as a delayed complication of radiation therapy for carcinoma of the breast.皮肤血管肉瘤作为乳腺癌放射治疗的迟发性并发症。
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