两例在F-FDG PET/CT上表现类似恶性肿瘤的淋巴结结核:病例报告
Lymph node tuberculosis mimicking malignancy on F-FDG PET/CT in two patients: A case report.
作者信息
Ding Rui-Lin, Cao Hong-Ying, Hu Yue, Shang Chang-Ling, Xie Fang, Zhang Zhen-Hua, Wen Qing-Lian
机构信息
Department of Oncology, The Affiliated Hospital of Luzhou Medical College, Luzhou, Sichuan 646000, P.R. China.
Department of Emergency, The Affiliated Hospital of Luzhou Medical College, Luzhou, Sichuan 646000, P.R. China.
出版信息
Exp Ther Med. 2017 Jun;13(6):3369-3373. doi: 10.3892/etm.2017.4421. Epub 2017 May 4.
F-fluorodeoxyglucose positron emission/computed tomography (F-FDG PET/CT) imaging, an established procedure for evaluation of malignancy, reports an increased F-FDG uptake in acute or chronic inflammatory condition. Lymph node tuberculosis (LNTB) is the most common form of extrapulmonary tuberculosis. However, the absence of clinical symptoms and bacteriological basis makes it difficult to diagnose. In the current case report, two patients with LNTB mimicking malignant lymphoma are presented by F-FDG PET/CT. The objective of the present report is to emphasize that LNTB should be considered as a noteworthy differential diagnosis in patients with enlarged lymph nodes, particularly in tuberculosis-endemic countries, and that lymph node biopsy serves a vital role in diagnosing LNTB.
氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(F-FDG PET/CT)成像作为一种评估恶性肿瘤的既定方法,显示在急性或慢性炎症状态下F-FDG摄取增加。淋巴结结核(LNTB)是肺外结核最常见的形式。然而,缺乏临床症状和细菌学依据使其难以诊断。在本病例报告中,通过F-FDG PET/CT展示了两名疑似恶性淋巴瘤的LNTB患者。本报告的目的是强调,对于淋巴结肿大的患者,尤其是在结核病流行国家,应将LNTB视为一个值得注意的鉴别诊断,并且淋巴结活检在LNTB的诊断中起着至关重要的作用。