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30 孕周妊娠合并乳腺癌孕妇 18F-FDG 全身 PET/MRI 检查揭示有趣的胎儿发现。

18F-FDG Whole-body PET/MRI of a 30-Week Pregnant Woman With Breast Cancer Revealed Interesting Fetal Findings.

机构信息

From the SyMPTOm PET/MRI Platform, Departments of Nuclear Medicine and Radiology, CHU Henri Mondor, AP-HP, U-PEC, Créteil.

Department of Nuclear Medicine, Curie Institute, Paris, France.

出版信息

Clin Nucl Med. 2019 Oct;44(10):818-820. doi: 10.1097/RLU.0000000000002663.

Abstract

A 35-year-old 30-week pregnant woman was referred to our institution for initial staging of a triple negative invasive ductal carcinoma of the left breast. To avoid fetal radiation exposure from CT, a whole-body F-FDG PET/MRI was performed. Simultaneous acquisition of PET, T1-, T2-, and diffusion-weighted sequences revealed left axillary node extension and no distant metastases. Fetal radiation dose was estimated at 1.9 mGy. Interestingly, low fetal brain uptake and high symmetrical myocardial metabolism in both ventricles were found. Delivery was induced at 37 weeks of amenorrhea, and the patient underwent 4 cycles of neoadjuvant chemotherapy.

摘要

一位 35 岁、30 孕周的孕妇因左乳三阴性浸润性导管癌被转诊至我院进行初始分期。为避免 CT 对胎儿造成辐射,进行了全身 F-FDG PET/MRI 检查。同时采集 PET、T1、T2 和弥散加权序列显示左侧腋窝淋巴结延伸,无远处转移。胎儿辐射剂量估计为 1.9 mGy。有趣的是,发现胎儿大脑摄取低,左右心室的心肌代谢高且对称。在闭经 37 周时引产,并对患者进行了 4 个周期的新辅助化疗。

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