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腋窝棉纤维瘤:氟脱氧葡萄糖正电子发射断层扫描和计算机断层扫描的影像陷阱

Gossypiboma of Axilla: Imaging Pitfalls on Fluorodeoxyglucose Positron Emission Tomography and Computed Tomography.

作者信息

Kuruva Manohar, Jambhekar Kedar, Viswamitra Sanjaya, Ram Roopa

机构信息

Department of Radiology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

出版信息

Indian J Nucl Med. 2018 Apr-Jun;33(2):143-144. doi: 10.4103/ijnm.IJNM_140_17.

DOI:10.4103/ijnm.IJNM_140_17
PMID:29643677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5883434/
Abstract

18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) with computed tomography (CT) has become the standard of care in staging, restaging, and response assessment of various malignancies including malignant melanoma. However, nonspecific uptake of FDG can occur in infectious and inflammatory conditions and can mimic a tumor. We present here a case of gossypiboma of the axillary region with FDG uptake detected in a patient with malignant melanoma of the upper extremity and discuss the potential pitfalls of this entity on FDG-PET/CT.

摘要

18F-氟脱氧葡萄糖(FDG)正电子发射断层扫描(PET)联合计算机断层扫描(CT)已成为包括恶性黑色素瘤在内的各种恶性肿瘤分期、再分期及疗效评估的标准诊疗方法。然而,FDG在感染和炎症性疾病中可出现非特异性摄取,可能会与肿瘤表现相似。我们在此报告1例上肢恶性黑色素瘤患者腋窝区域棉籽瘤伴FDG摄取的病例,并讨论该病变在FDG-PET/CT上可能存在的陷阱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a96/5883434/d0d5bce45fe5/IJNM-33-143-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a96/5883434/d0d5bce45fe5/IJNM-33-143-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a96/5883434/d0d5bce45fe5/IJNM-33-143-g001.jpg

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本文引用的文献

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Pitfalls and Artifacts in the Use of PET/CT in Oncology Imaging.PET/CT在肿瘤成像中的陷阱与伪影
Semin Nucl Med. 2015 Nov;45(6):481-99. doi: 10.1053/j.semnuclmed.2015.02.006.
2
Foreign Body Abscess Mimicking a Malignant Peripheral Nerve Sheath Tumor in a Patient With Neurofibromatosis Type 1.1 型神经纤维瘤病患者的异物性脓肿,类似恶性外周神经鞘瘤。
Clin Nucl Med. 2015 Aug;40(8):674-5. doi: 10.1097/RLU.0000000000000824.
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PET/Computed Tomography and Patient Outcomes in Melanoma.
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[Foreign body granuloma with positive 18-fluorodeoxyglucose positoron emission tomography( FDGPET)3 years after thymectomy].胸腺切除术后3年出现18-氟脱氧葡萄糖正电子发射断层扫描(FDG-PET)阳性的异物肉芽肿
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FDG-PET-positive foreign-body granuloma mimicking residual germinal tumor infiltration.FDG-PET 阳性异物肉芽肿,类似于生殖细胞肿瘤残留浸润。
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[18-FDG PET-scan of intrathoracic gossypiboma during the monitoring of lung cancer].[肺癌监测期间胸腔内棉球瘤的18F-FDG PET扫描]
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