From the Nuclear Medicine Service, Department of Radiology, William Beaumont Army Medical Center, El Paso, TX.
Clin Nucl Med. 2019 Jan;44(1):e24-e25. doi: 10.1097/RLU.0000000000002351.
Thyroglossal duct cyst is a common congenital cyst in the neck. The incidence of primary carcinoma of the thyroglossal duct is less than 1% in all age groups. We present the case of a 63-year-old man with rapid expansion of a known thyroglossal duct cyst with mixed solid/cystic components. F-FDG PET/CT showed a large anterior neck mass with a non-FDG-avid cystic component and a hypermetabolic heterogeneous mass on the right side confirmed by histopathology to be squamous cell carcinoma. Although rare, F-FDG PET/CT can assist with evaluating the extent of malignant involvement in thyroglossal duct cyst squamous cell carcinoma.
甲状舌管囊肿是颈部常见的先天性囊肿。在所有年龄段,甲状舌管原发性癌的发病率均低于 1%。我们报告了 1 例 63 岁男性,其已知甲状舌管囊肿迅速增大,伴有混合实性/囊性成分。F-FDG PET/CT 显示前颈部有一个大肿块,囊性成分无 FDG 摄取,右侧为代谢不均匀的肿块,组织病理学证实为鳞状细胞癌。虽然罕见,但 F-FDG PET/CT 可辅助评估甲状舌管囊肿鳞状细胞癌恶性累及的程度。