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直肠癌转移至多块骨骼肌——F-18 FDG PET/CT的作用

Rectal Carcinoma Metastases to Multiple Skeletal Muscles-Role of F-18 FDG PET/CT.

作者信息

Prabhu Meghana, Raju Sunil Hejjaji Venkataramarao Nalini, Sachani Hemant

机构信息

Department of Nuclear Medicine and PET CT, Narayana Health City, Bangalore, Karnataka, India.

Department of Pathology, Narayana Health City, Bangalore, Karnataka, India.

出版信息

Indian J Nucl Med. 2017 Jul-Sep;32(3):214-216. doi: 10.4103/ijnm.IJNM_167_16.

DOI:10.4103/ijnm.IJNM_167_16
PMID:28680207
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5482019/
Abstract

Rectal carcinoma with metastasis to skeletal muscle is rare. So far, 16 cases of skeletal muscle metastasis from colorectal carcinoma have been documented of which only 5 were rectal carcinomas. We discuss here the case of a 69-year old male, a known case of mucinous adenocarcinoma status post neoadjuvant chemoradiotherapy and abdomino perineal resection, who presented with low backache 4 months post surgery. He was found to have metastasis to multiple skeletal muscles without the involvement of common sites, such as liver and lung. The role of 18-FDG-PET/CT in such cases is rarely reported in the literature. This case highlights the importance of utilizing 18-FDG-PET/CT in detecting sites of skeletal muscle metastasis and thereby guides appropriate management.

摘要

伴有骨骼肌转移的直肠癌很罕见。到目前为止，已记录了16例结直肠癌发生骨骼肌转移的病例，其中仅有5例为直肠癌。在此，我们讨论一名69岁男性的病例，该患者为黏液腺癌，接受新辅助放化疗及腹会阴切除术后，术后4个月出现腰痛。他被发现有多处骨骼肌转移，而常见转移部位如肝脏和肺未受侵犯。18-FDG-PET/CT在这类病例中的作用在文献中鲜有报道。本病例强调了利用18-FDG-PET/CT检测骨骼肌转移部位并由此指导恰当治疗的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/7fb1407cedbf/IJNM-32-214-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/ffbb31054d45/IJNM-32-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/1aeda93157ce/IJNM-32-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/7ba43ea6dc85/IJNM-32-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/3c5c3d694df6/IJNM-32-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/7fb1407cedbf/IJNM-32-214-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/ffbb31054d45/IJNM-32-214-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/1aeda93157ce/IJNM-32-214-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/7ba43ea6dc85/IJNM-32-214-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/3c5c3d694df6/IJNM-32-214-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad3a/5482019/7fb1407cedbf/IJNM-32-214-g005.jpg

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本文引用的文献

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Multiple skeletal muscle metastases from colon carcinoma preceded by paraneoplastic dermatomyositis.结肠癌发生多处骨骼肌转移，之前伴有副肿瘤性皮肌炎。
Case Rep Med. 2013;2013:392609. doi: 10.1155/2013/392609. Epub 2013 Jul 24.
2
Skeletal muscle metastasis as an initial presentation of follicular thyroid carcinoma: a case report and a review of the literature.以骨骼肌转移为首发表现的滤泡状甲状腺癌：1例病例报告及文献复习
Case Rep Endocrinol. 2013;2013:192573. doi: 10.1155/2013/192573. Epub 2013 Mar 28.
直肠乙状结肠癌孤立性囊性腰肌转移。
J Investig Med High Impact Case Rep. 2021 Jan-Dec;9:23247096211024067. doi: 10.1177/23247096211024067.
4
Rectal adenocarcinoma presenting with thigh muscle metastasis as the only metastatic site.以大腿肌肉转移作为唯一转移部位的直肠腺癌。
BMJ Case Rep. 2019 Jan 22;12(1):e226802. doi: 10.1136/bcr-2018-226802.