Wang Si-Yun, Luo Dong-Lan, Chen Gang, Wang Shu-Xia
From the Departments of *PET/CT Center; †Pathology and ‡Thoracic Surgery, Guangdong Academy of Medical Science & Guangdong General Hospital, Guangzhou, People's Republic of China.
Clin Nucl Med. 2016 Apr;41(4):323-5. doi: 10.1097/RLU.0000000000001062.
Solitary chest wall tuberculosis (TB) is rare. We report a case of primary chest wall TB in a 66-year-old woman involving the pleura and intercostal and erector spinae muscles. There was elevated FDG uptake in the right posterior chest wall. Surgery was performed, and pathology revealed inflammatory granuloma and caseous necrosis. Familiarity with 18F-FDG PET/CT images of chest wall TB could reduce possible misdiagnosis.
孤立性胸壁结核罕见。我们报告一例66岁女性原发性胸壁结核病例,病变累及胸膜、肋间肌和竖脊肌。右后胸壁FDG摄取增高。患者接受了手术,病理显示为炎性肉芽肿和干酪样坏死。熟悉胸壁结核的18F-FDG PET/CT图像有助于减少误诊。