Erdoğan Osman, İsmi Onur, Arpacı Rabia Bozdoğan, Vayısoğlu Yusuf, Özcan Cengiz
Department of Otorhinolaryngology, Mersin University School of Medicine, Mersin, Turkey.
Department of Pathology, Mersin University School of Medicine, Mersin, Turkey.
Turk Arch Otorhinolaryngol. 2018 Jun;56(2):114-116. doi: 10.5152/tao.2018.3123. Epub 2018 Jun 1.
Positron emission tomography/computed tomography (PET/CT) is frequently used for diagnosing, staging, and following-up various malignancy types because it provides information on the site and metabolic activity of the tumor. Fluorodeoxyglucose (FDG) uptake by the normal laryngeal tissue is symmetric and low, whereas that under some non-malignant conditions of the larynx, such as vocal cord paralysis and Teflon granuloma, is asymmetrically increased. We reported the first case of histologically proven Reinke's edema causing false-positive laryngeal FDG uptake on PET/CT imaging. A clinician must be aware of these rare benign lesions in the case of increased FDG uptake, and histopathological investigation is mandatory to rule out malignancy for suspicious cases.
正电子发射断层扫描/计算机断层扫描(PET/CT)因其能提供肿瘤部位及代谢活性信息,常用于诊断、分期及随访多种恶性肿瘤类型。正常喉组织对氟脱氧葡萄糖(FDG)的摄取呈对称且较低水平,而在喉部某些非恶性病变情况下,如声带麻痹和聚四氟乙烯肉芽肿,FDG摄取会不对称增加。我们报道了首例经组织学证实的任克氏水肿导致PET/CT成像出现喉部FDG摄取假阳性的病例。临床医生在FDG摄取增加的情况下必须知晓这些罕见的良性病变,对于可疑病例,必须进行组织病理学检查以排除恶性肿瘤。