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一例罕见的前列腺癌肝转移在免疫组化上酷似肝细胞癌:F-18氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描在诊断中的作用

A Rare Case of Liver Metastasis from Prostate Cancer Mimicking Hepatocellular Carcinoma on Immunohistochemistry: Role of F-18 Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography in Diagnosis.

作者信息

Senthil Raja, Nair Arun Visakh Ramachandran, Pratap Thara, Gangadharan Vadavattathu Padmanabhan, Mahadevan Pushpa

机构信息

Department of Nuclear Medicine and PET/CT, VPS Lakeshore Hospital, Kochi, Kerala, India.

Department of Radiology, VPS Lakeshore Hospital, Kochi, Kerala, India.

出版信息

Indian J Nucl Med. 2019 Jan-Mar;34(1):54-56. doi: 10.4103/ijnm.IJNM_110_18.

Abstract

We present a case with space-occupying lesion in cirrhotic liver, diagnosed as hepatocellular carcinoma on immunohistochemistry, who underwent F-18 fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) and showed FDG-avid lesions in liver as well as in the prostate. These findings guided in establishing the diagnosis of prostate cancer, metastasizing to liver by performing additional immunohistochemical markers. PET/CT was also useful in identifying coexisting non-Hodgkin's lymphoma.

摘要

我们报告一例肝硬化肝脏存在占位性病变的病例,经免疫组化诊断为肝细胞癌,该患者接受了F-18氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(FDG PET/CT)检查,结果显示肝脏以及前列腺存在FDG摄取增高的病变。这些发现通过进一步的免疫组化标记物有助于确诊前列腺癌肝转移。PET/CT在识别同时存在的非霍奇金淋巴瘤方面也很有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/da08/6352627/3582c9bf3b18/IJNM-34-54-g001.jpg

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