Jiang Lei, Li Yanli, Luan Lijuan, Zhang Yongxing, Shi Hongcheng
From the *Department of Nuclear Medicine, Zhongshan Hospital, Fudan University; †Shanghai Institute of Medical Imaging; Departments of ‡Pathology, and §Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Clin Nucl Med. 2016 May;41(5):382-4. doi: 10.1097/RLU.0000000000001086.
A 52-year-old man presented with chest distress and low back pain for 1 month. CT examination displayed a thymic tumor with the metastases to bilateral lungs as well as mediastinal and bilateral hilar lymph nodes. To evaluate the involved extent of the disease, F-FDG PET/CT scan was carried out, which showed that in addition to the thymic mass, multiple foci of abnormally increased FDG activity in the bilateral lungs, neck and chest lymph nodes, and bones were observed. Finally, the biopsy of the mass confirmed the diagnosis of thymic small cell neuroendocrine carcinoma.
一名52岁男性因胸痛和腰痛1个月前来就诊。CT检查显示为胸腺肿瘤，伴有双肺、纵隔及双侧肺门淋巴结转移。为评估疾病累及范围，进行了F-FDG PET/CT扫描，结果显示除胸腺肿块外，在双肺、颈部和胸部淋巴结及骨骼中观察到多个FDG活性异常增高的病灶。最终，肿块活检确诊为胸腺小细胞神经内分泌癌。
