From the Department of Nuclear Medicine, Chinese PLA General Hospital, Beijing, 100853, China. Conflicts of interest and sources of funding: none declared.
Clin Nucl Med. 2018 Jun;43(6):e189-e191. doi: 10.1097/RLU.0000000000002039.
Malignant fibrous histiocytoma is mainly presented in extremities, less commonly in posterior peritoneum, but primary presented in liver is very rare and often with a poor prognosis because of its high aggression. The features of clinical presentations and images are variable and the pre-operative diagnosis is difficult. Here, we report a primary hepatic malignant fibrous histiocytoma patient with no distant metastasis showed on pre-operative F-FDG PET/CT, however with many metastases showed on the post-operative F-FDG PET/CT.
恶性纤维组织细胞瘤主要发生于四肢，较少发生于后腹膜，但原发于肝脏的非常罕见，且由于其侵袭性高，预后通常较差。临床表现和影像学特征多变，术前诊断困难。本文报道了 1 例术前 F-FDG PET/CT 未见远处转移，但术后 F-FDG PET/CT 显示多发转移的原发性肝恶性纤维组织细胞瘤患者。
