FDG PET 显示广泛颅外转移的间变性少突胶质细胞瘤 1 例

A Case of Anaplastic Oligodendroglioma With Extensive Extraneural Metastases Imaged With FDG PET.

机构信息

From the Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD.

出版信息

Clin Nucl Med. 2017 Dec;42(12):968-970. doi: 10.1097/RLU.0000000000001859.

DOI:10.1097/RLU.0000000000001859

PMID:29076897

Abstract

A 28-year-old man with history of anaplastic oligodendroglimoma in the left frontal lobe presented with worsening right leg weakness 2 months after surgical resection. MRI of the brain and spine demonstrated a new mass in the left parietal lobe, as well as extraneural osseous metastases. FDG PET scan subsequently showed widespread extraneural metastatic disease. Extraneural metastases from primary brain tumors are a rare occurrence, although anaplastic oligodendroglioma has a propensity for spreading in such a manner. FDG PET can effectively stage patients with extraneural metastases from anaplastic oligodendroglioma by detecting metastatic disease in sites such as the skeleton and liver.

摘要

一位 28 岁男性，曾患有左额叶间变性少突胶质细胞瘤，在手术切除后 2 个月出现右腿无力加重。脑部和脊柱的 MRI 显示左顶叶有新的肿块，以及神经外骨骼转移。随后的 FDG PET 扫描显示广泛的神经外转移性疾病。尽管间变性少突胶质细胞瘤有这种扩散倾向，但原发脑肿瘤的神经外转移仍然很少见。FDG PET 通过检测骨骼和肝脏等部位的转移病灶，可有效地对间变性少突胶质细胞瘤的神经外转移患者进行分期。