正电子发射断层扫描在诊断尿路上皮膀胱癌同步阴茎转移中的价值。
Value of positron emission tomography in diagnosing synchronous penile metastasis from urothelial bladder cancer.
作者信息
Rouanne M, Alhammadi A, Vilain D, Radulescu C, Lebret T
机构信息
Department of Urology, Hôpital Foch, 40, rue Worth, 92150, Suresnes, France.
UFR des Sciences de la Santé, Versailles-Saint-Quentin-en-Yvelines University, Versailles, France.
出版信息
World J Surg Oncol. 2015 Sep 17;13:276. doi: 10.1186/s12957-015-0696-1.
Metastases to the penis are extremely rare events. Most frequently, penile metastases come from the urogenital system (bladder, prostate) or the rectum-sigmoid colon. Usually painful, penile lesions may be asymptomatic, making diagnosis more challenging. Hence, we report the adding value of (18)F-fludeoxyglucose-positron emission tomography/computed tomography ((18)F-FDG PET/CT) in the detection of penile metastases originating from urothelial carcinoma of the bladder. Arguably, penile metastases must be considered as an advanced disease requiring essentially palliative care. Therefore, accurate staging of clinically localized muscle-invasive bladder cancer is crucial to avoid useless curative intent radical surgery.
阴茎转移极为罕见。阴茎转移最常见于泌尿生殖系统（膀胱、前列腺）或直肠乙状结肠。阴茎病变通常疼痛，但也可能无症状，这使得诊断更具挑战性。因此，我们报告了（18）F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（（18）F-FDG PET/CT）在检测源自膀胱尿路上皮癌的阴茎转移中的附加价值。可以说，阴茎转移必须被视为一种基本上需要姑息治疗的晚期疾病。因此，对临床局限性肌肉浸润性膀胱癌进行准确分期对于避免进行无意义的根治性手术至关重要。
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