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结肠癌患者 FDG PET/CT 表现酷似转移的 Mazabraud 综合征。

Mazabraud's Syndrome Mimicking Metastases on FDG PET/CT in a Patient With Colon Cancer.

出版信息

Clin Nucl Med. 2018 Aug;43(8):625-626. doi: 10.1097/RLU.0000000000002151.

Abstract

Mazabraud's, a syndrome consisting of fibrous dysplasia and soft tissue myxomas, is a rare disorder with less than 100 cases reported in the literature. Appearance of lesions in Mazabraud's syndrome on FDG PET/CT scan in an oncological scenario can be misinterpreted as malignancy. We present the case of a 69-year-old woman, diagnosed with metastatic colon carcinoma and suspected osseous as well as soft tissue metastases, who was later found to have concomitant Mazabraud's syndrome. This case describes the diagnostic dilemma associated with this unusual entity and importance of differentiating benign and malignant etiologies on FDG PET/CT scan.

摘要

Mazabraud 综合征是一种罕见疾病,由纤维结构不良和软组织黏液瘤组成,文献报道不足 100 例。在肿瘤学背景下,FDG PET/CT 扫描中 Mazabraud 综合征病变的出现可能被误诊为恶性肿瘤。我们报告了一例 69 岁女性患者,该患者被诊断为转移性结肠癌,并怀疑有骨和软组织转移,后来发现同时患有 Mazabraud 综合征。本病例描述了与这种不寻常实体相关的诊断难题,以及在 FDG PET/CT 扫描中区分良性和恶性病因的重要性。

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