Quan Xiao-Qing, Yin Tie-Jun, Zhang Cun-Tai, Liu Jian, Qiao Li-Fen, Ke Chang-Shu
Department of Geriatrics, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Department of Pathology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Case Rep Oncol. 2014 Nov 28;7(3):789-98. doi: 10.1159/000369112. eCollection 2014 Sep.
A 62-year-old woman was found to have multiple bilateral pulmonary nodules showing different (18)F-fluorodeoxyglucose (FDG) uptakes on positron-emission tomography/computed tomography (PET/CT). Only the largest nodule in the left lower lobe showed an increased (18)F-FDG uptake on PET/CT. Three nodules were surgically resected from different lobes of the left lung. Two lobes were benign and showed amyloid deposition. The largest nodule in the left lower lobe showed adenocarcinoma and a heavy amyloid deposition. Pulmonary amyloidosis should be added to the differential diagnosis for cases with multiple pulmonary nodules that show different (18)F-FDG uptakes on PET/CT. To the best of our knowledge, this is the second reported case of a lung nodule consisting of adenocarcinoma and amyloid deposition.
一名62岁女性在正电子发射断层扫描/计算机断层扫描(PET/CT)上被发现有多个双侧肺结节,显示出不同的(18)F-氟脱氧葡萄糖(FDG)摄取情况。仅左肺下叶最大的结节在PET/CT上显示(18)F-FDG摄取增加。从左肺不同叶手术切除了三个结节。两个叶为良性,显示有淀粉样沉积。左肺下叶最大的结节显示为腺癌且有大量淀粉样沉积。对于PET/CT上显示不同(18)F-FDG摄取的多个肺结节病例,应将肺淀粉样变性纳入鉴别诊断。据我们所知,这是第二例报告的由腺癌和淀粉样沉积组成的肺结节病例。