From the Departments of Biophysics and Nuclear Medicine.
Hepato-Pancreato-Biliary Surgery and Liver Transplantation.
Clin Nucl Med. 2018 Sep;43(9):e326-e328. doi: 10.1097/RLU.0000000000002185.
We report the case of a 54-year-old woman with a nonfunctioning paraganglioma arising from the gastroepiploic pedicle demonstrated by F-FDOPA PET/CT. Because gastroepiploic arcade can be assimilated to the gastric mesentery, this tumor has been classified as a mesenteric paraganglioma (PGL). Neural crest cells are a multipotent population of cells characterized by effective migratory properties potentially explaining PGL atypical localization as in the mesentery. Mesenteric PGLs are often nonfunctioning and can mimic gastric, colic, or pancreatic primary tumor because of their anatomical boundaries, making more difficult the diagnosis on preoperative imaging.
我们报告了一例 54 岁女性的病例,她患有起源于胃网膜蒂的无功能副神经节瘤,这一肿瘤通过 F-FDOPA PET/CT 得以显现。由于胃网膜弓可以被视为胃系膜,因此该肿瘤被归类为肠系膜副神经节瘤(PGL)。神经嵴细胞是一种具有有效迁移特性的多能细胞群体,这可能解释了 PGL 在肠系膜等非典型部位的定位。肠系膜 PGL 通常无功能,由于其解剖边界,可能会模拟胃、结肠或胰腺的原发性肿瘤,这使得术前影像学诊断更加困难。