Clin Nucl Med. 2019 Jun;44(6):465-466. doi: 10.1097/RLU.0000000000002566.
A 17-year-old adolescent boy's known case of classical seminoma stage IB for which he underwent right radical orchiectomy. At the first-year follow-up, CT abdomen and pelvis was performed and showed lytic vertebral lesion with left paravertebral necrotic mass that warranted further investigation to exclude disease recurrence. FDG PET/CT scan was performed to evaluate the extent of disease and showed high uptake in the same areas. A biopsy was obtained from the hypermetabolic soft tissue lesion and did not reveal malignant cells. Subsequently, serologic tests were suggestive of brucellosis.
一名 17 岁青少年,已知患有经典精原细胞瘤 IB 期,行右侧根治性睾丸切除术。在第一年随访时,行腹部和盆腔 CT 检查,显示溶骨性椎骨病变伴左侧椎旁坏死肿块,需要进一步检查以排除疾病复发。行 FDG PET/CT 扫描评估疾病范围,显示同一区域摄取增高。从高代谢软组织病变中获取活检,未发现恶性细胞。随后,血清学检查提示布氏杆菌病。