原发性肝肉瘤样癌及 18F-FDG PET/CT。
Primary Liver Carcinosarcoma and 18F-FDG PET/CT.
机构信息
From the *Department of Nuclear Medicine, Zhongshan Hospital, Fudan University, Shanghai; †Nuclear Medicine Institute of Fudan University, Shanghai; ‡Shanghai Institute of Medical Imaging, Shanghai; and §Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
出版信息
Clin Nucl Med. 2016 Aug;41(8):e383-5. doi: 10.1097/RLU.0000000000001232.
Primary liver carcinosarcoma is a very rare, malignant neoplasm that is concomitantly composed of a mixture of sarcomatous and carcinomatous elements. In the present study, an initial staging FDG PET/CT showed intense FDG uptake in a patient with liver carcinosarcoma composed of hepatocellular carcinoma and rhabdomyosarcoma. Two months after surgical resection, a restaging PET/CT showed rapid progression of the disease with abdominal and lung metastases, indicating aggressive feature of the disease. The case shows the importance to repeat a restaging PET/CT at early time after surgery for a patient with liver carcinosarcoma to monitor disease progression.
原发性肝肉瘤癌是一种非常罕见的恶性肿瘤，同时由肉瘤和癌两种成分混合组成。在本研究中，一位肝肉瘤癌患者的初始分期 FDG PET/CT 显示出强烈的 FDG 摄取，该肿瘤由肝细胞癌和横纹肌肉瘤混合组成。在手术切除两个月后，进行了疾病再分期 PET/CT 检查，显示出疾病迅速进展，出现腹部和肺部转移，表明该疾病具有侵袭性特征。该病例表明，对于肝肉瘤癌患者，在手术后早期重复进行疾病再分期 PET/CT 检查以监测疾病进展非常重要。
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