Morita Shinichi, Suda Takeshi, Oda Chiyumi, Kobayashi Masaaki, Hoshi Takahiro, Kanefuji Tsutomu, Yagi Kazuyoshi, Hasegawa Go, Terai Shuji
Department of Gastroenterology and Hepatology, Uonuma Institute of Community Medicine Niigata University Hospital, Japan.
Department of Internal Medicine, Niigata Cancer Center Hospital, Japan.
Intern Med. 2019 Feb 1;58(3):415-418. doi: 10.2169/internalmedicine.1394-18. Epub 2018 Aug 24.
We encountered a small cell lung cancer (SCLC) patient with intertrabecular vertebral metastasis (IVM). A 59-year-old man was admitted to our hospital with weight loss. F-fluorodeoxyglucose positron emission tomography (FDG PET)-CT demonstrated the uptake of fluorodeoxyglucose in the hilum of the left lung and whole-body bones. Despite intensive support, the patient died within a month. Subsequent autopsy revealed a small lesion consisting of small round cells in the left lung. The cancer cells were found to have spread through the replacement of the bone marrow cells while sparing the trabecular bone. This case demonstrated the potential of F-FDG PET for detecting IVM in SCLC patients.
我们遇到了一名患有小梁间椎体转移（IVM）的小细胞肺癌（SCLC）患者。一名59岁男性因体重减轻入住我院。氟脱氧葡萄糖正电子发射断层扫描（FDG PET）-CT显示左肺门和全身骨骼摄取氟脱氧葡萄糖。尽管给予了积极支持，患者在一个月内死亡。随后的尸检显示左肺有一个由小圆形细胞组成的小病灶。发现癌细胞通过替代骨髓细胞而扩散，同时小梁骨未受影响。该病例证明了F-FDG PET在检测SCLC患者IVM方面的潜力。
