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表现为气管支气管钙化和结节的结节病:一例罕见病例报告及通过F-FDG-PET/CT评估治疗反应

Sarcoidosis Presenting with Tracheobronchial Calcification and Nodularity: An Unusual Case Presentation with Treatment Response Assessment by F-FDG-PET/CT.

作者信息

Bansal Sameer, Utpat Ketaki, Desai Unnati, Basu Sandip, Joshi Jyotsna M

机构信息

Department of Pulmonary Medicine, T. N. Medical College, B. Y. L. Nair Hospital, Mumbai, Maharashtra, India.

Radiation Medicine Centre, BARC, Tata Memorial Centre Annexe, Mumbai, Maharashtra, India.

出版信息

Indian J Nucl Med. 2017 Jul-Sep;32(3):217-220. doi: 10.4103/ijnm.IJNM_152_16.

DOI:10.4103/ijnm.IJNM_152_16
PMID:28680208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5482020/
Abstract

Airway involvement, tracheobronchial nodularity, and calcification are rare occurrences and unorthodox phenomena in sarcoidosis. Here, we report such an unusual case manifesting as tracheal calcification and nodules of the central airways. Radiology and bronchoscopy provide useful diagnostic clues when combined with histopathology. This case serves as an aide-memorie for the variegated presentations of sarcoidosis and emphasizes a high index of suspicion for the entity in such unconventional circumstances. An early favorable treatment response assessment to corticosteroid therapy was shown with F-fludeoxyglucose positron emission tomography/computed tomography.

摘要

气道受累、气管支气管结节及钙化在结节病中较为罕见且属于非典型现象。在此,我们报告这样一例不寻常病例,其表现为气管钙化及中央气道结节。放射学检查和支气管镜检查与组织病理学检查相结合时可提供有用的诊断线索。该病例可作为结节病多样表现的一个提示,并强调在这种非传统情况下对此病要有高度的怀疑指数。氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描显示对皮质类固醇治疗有早期良好的治疗反应评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb8/5482020/2318855ab70d/IJNM-32-217-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb8/5482020/8122ebada605/IJNM-32-217-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb8/5482020/9d4cec68fd83/IJNM-32-217-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb8/5482020/c54c5ae3841d/IJNM-32-217-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb8/5482020/2318855ab70d/IJNM-32-217-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb8/5482020/8122ebada605/IJNM-32-217-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb8/5482020/9d4cec68fd83/IJNM-32-217-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb8/5482020/c54c5ae3841d/IJNM-32-217-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bb8/5482020/2318855ab70d/IJNM-32-217-g005.jpg

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本文引用的文献

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Potential of 18F-FDG-PET and PET/CT in nonmalignant pulmonary disorders: much more than currently perceived? Making the case from experience gained in the Indian scenario.18F-FDG-PET及PET/CT在非恶性肺部疾病中的应用潜力:是否远超当前认知?基于印度经验的论证
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FDG-PET scan in management of pulmonary sarcoidosis.氟代脱氧葡萄糖正电子发射断层扫描在结节病管理中的应用
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