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在一名先前接受过转移性黑色素瘤治疗的患者中,假体周围血清肿伴FDG PET-CT假阳性反应性淋巴结被误诊为转移灶。诊断错误的潜在来源。

Periprosthetic seroma with false-positive FDG PET-CT reactive nodes mistaken for metastases in a patient previously treated of metastasic melanoma. Potential source of diagnostic errors.

作者信息

Gomez Portilla Alberto, Onaindia Eleder, Larrañaga Maitane, López de Heredia Eduardo, Echenagusía Victor

机构信息

Department of General Surgery and Digestive Diseases, University Hospital of Araba, Spain; University of the Basque Country, UPV, Spain.

Department of Surgery, University of the Basque Country, UPV, Spain.

出版信息

Int J Surg Case Rep. 2017;38:66-68. doi: 10.1016/j.ijscr.2017.07.001. Epub 2017 Jul 8.

Abstract

FDG PET/CT is believed to be crucial in oncology, but its limited specificity represents a challenge. Prosthetic meshes used for repair abdominal defects may lead to false-positives FDG PET/CT uptake, over staging malignancies and inducing inappropriate treatments. A false-positive FDG PET/CT uptake mimicking metastatic disease during the follow-up of a previously treated metastatic melanoma patient is presented.

摘要

氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(FDG PET/CT)被认为在肿瘤学中至关重要,但其有限的特异性构成了一项挑战。用于修复腹部缺损的人工补片可能导致FDG PET/CT摄取出现假阳性,使恶性肿瘤分期过度并引发不恰当的治疗。本文介绍了一例在先前接受治疗的转移性黑色素瘤患者随访期间,FDG PET/CT摄取出现假阳性,酷似转移性疾病的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9214/5524308/52d134d6ca4a/gr1.jpg

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