Tagliabue Luca, Manfrinato Giulia, Luciani Andrea
Department of Diagnostic Imaging, Nuclear Medicine Unit, ASST-Santi Paolo e Carlo, Milan, Italy.
University of Milan, Postgraduate School of Nuclear Medicine, Milan, Italy.
Indian J Nucl Med. 2017 Jul-Sep;32(3):208-210. doi: 10.4103/ijnm.IJNM_153_16.
Positron emission tomography (PET) using 18F-fluorodeoxyglucose (18F-FDG) is useful for staging non-small cell lung cancer (NSCLC), decide the appropriate initial management, and evaluate the response to therapy. Metastatic spreading is very common during the course of NSCLC and principal localization sites include: regional and mediastinal lymph nodes and organs such as the contralateral lung parenchyma, bone, brain, adrenal gland, pleura, and liver. Myocardial localizations are very rare, often asymptomatic, and difficult to diagnose. For this reason, only a few cases are reported in the literature. Here, we report a case of an asymptomatic patient affected by locally advanced NSCLC and high metabolic lesion of the interventricular septum.
使用18F-氟脱氧葡萄糖（18F-FDG）的正电子发射断层扫描（PET）对于非小细胞肺癌（NSCLC）的分期、确定合适的初始治疗方案以及评估治疗反应很有用。在NSCLC病程中，转移扩散非常常见，主要定位部位包括：区域和纵隔淋巴结以及对侧肺实质、骨、脑、肾上腺、胸膜和肝脏等器官。心肌定位非常罕见，通常无症状且难以诊断。因此，文献中仅报道了少数病例。在此，我们报告一例局部晚期NSCLC患者合并室间隔高代谢病变且无症状的病例。
