18F-FDG PET/CT 检测胆囊恶性神经鞘瘤孤立转移

A Solitary Metastasis for a Malignant Schwannoma in the Gallbladder Detected by 18F-FDG PET/CT.

机构信息

From the *Nuclear Medicine and Molecular Imaging Unit, and †Oncology Unit 1, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.

出版信息

Clin Nucl Med. 2016 Aug;41(8):666-7. doi: 10.1097/RLU.0000000000001263.

DOI:10.1097/RLU.0000000000001263

PMID:27280905

Abstract

A 63-year-old woman with a history of malignant schwannoma in the left shoulder (pT1aNxMx) was treated with surgical resection in 2012. During follow-up, patient developed a metastasis in the right lung treated by further surgical intervention. For a suspicion on persistent disease in the lung, patient was sent to FDG PET/CT examination, which showed a focal uptake in the gallbladder. The patient underwent cholecystectomy, and a solitary metastasis from schwannoma was diagnosed by pathology. This case highlights that, in patients with a malignant schwannoma, a careful differential diagnosis should be made in case of a significant FDG uptake in the gallbladder.

摘要

一位 63 岁女性，曾于 2012 年因左肩部恶性神经鞘瘤（pT1aNxMx）接受手术切除治疗。在随访期间，患者右侧肺部发生转移，进一步接受了手术干预。由于怀疑肺部疾病持续存在，患者进行了 FDG PET/CT 检查，结果显示胆囊有局灶性摄取。患者随后接受了胆囊切除术，病理诊断为孤立性神经鞘瘤转移。本病例强调，对于患有恶性神经鞘瘤的患者，如果胆囊出现明显的 FDG 摄取，应仔细进行鉴别诊断。