[1例胃癌膈下淋巴结转移病例，其中FDG-PET/CT对诊断有帮助]
[A Case of Subphrenic Lymph Node Metastasis from Gastric Cancer in Which FDG-PET/CT Was Useful for Diagnosis].
作者信息
Nishimura Taro, Muroya Daisuke, Kodama Maako, Ishibashi Yoshiaki, Matsumura Masaru, Taketani Sonofu, Yoshimoto Yasunori, Morimitsu Yosuke, Wada Yoshito, So Hironobu, Sato Hidehiro, Taniwaki Satoshi, Imamura Tetsuo, Akashi Hidetoshi, Shimokobe Tomohisa
机构信息
Dept. of Surgery, Tobata Kyoritsu Hospital.
出版信息
Gan To Kagaku Ryoho. 2019 Dec;46(13):2252-2254.
A 70-year-old man was admitted for lymph node metastasis detected by FDG-PET/CT showing a mass 10mm in diameter. He had a history of a distal gastrectomy for advanced gastric cancer and was administered postoperative adjuvant chemotherapy consisting of 2 courses of TS-1 with CDDP and TS-1 only for 1 year. Lymph node recurrence was diagnosed and resected 4 years after the initial surgery. Histological examination revealed lymph node metastasis of the gastric cancer. He was administered adjuvant chemotherapy using TS-1 and has been followed-up without recurrences for 17 months after the second operation. We reported a case in which FDG-PET/CT was potentially beneficial for the diagnosis of the postoperative small lymph node metastasis.
一名70岁男性因FDG-PET/CT检测到淋巴结转移而入院，显示有一个直径10毫米的肿块。他有晚期胃癌远端胃切除术史，术后接受了2个疗程的替吉奥联合顺铂辅助化疗，之后仅使用替吉奥进行了1年的辅助化疗。在初次手术后4年诊断出淋巴结复发并进行了切除。组织学检查显示为胃癌淋巴结转移。他接受了替吉奥辅助化疗，第二次手术后已随访17个月，无复发。我们报告了一例FDG-PET/CT对术后小淋巴结转移诊断可能有益的病例。
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