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肝脾αβT 细胞淋巴瘤患者的“肝脏超级扫描”:18F-FDG PET/CT 表现。

"Hepatic Superscan" in a Patient With Hepatosplenic Alphabeta T-cell Lymphoma: 18F-FDG PET/CT Findings.

机构信息

From the WeiLun PET Center, Department of Nuclear Medicine, and.

Departments of Haematology, and.

出版信息

Clin Nucl Med. 2018 Aug;43(8):595-598. doi: 10.1097/RLU.0000000000002134.

DOI:10.1097/RLU.0000000000002134
PMID:29762242
Abstract

A 36-year-old woman with a 2-week history of fever and markedly elevated lactate dehydrogenase levels. Nonenhanced CT and contrast-enhanced CT showed hepatosplenomegaly, diffusely decreased attenuation of the liver, and homogeneous enhancement in the hepatic and splenic parenchyma. F-FDG PET/CT revealed diffuse intense heterogeneous uptake by the liver (like superscan in bone scintigraphy). A liver needle biopsy confirmed the diagnosis of hepatosplenic alphabeta T-cell lymphoma. Subsequently, she received chemotherapy. The follow-up F-FDG PET/CT showed decreased F-FDG uptake in the liver and spleen.

摘要

一位 36 岁女性,发热病史 2 周,乳酸脱氢酶水平显著升高。非增强 CT 和增强 CT 显示肝脾肿大,肝脏弥漫性衰减降低,肝脾实质均匀强化。氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描显示肝脏弥漫性不均匀摄取增强(类似于骨扫描中的超级扫描)。肝活检证实为肝脾αβ T 细胞淋巴瘤。随后,她接受了化疗。后续氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描显示肝脏和脾脏的氟代脱氧葡萄糖摄取减少。

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