Soydal Çiğdem, Akkuş Pınar, Araz Mine, Utkan Güngör
Ankara University Faculty of Medicine, Department of Nuclear Medicine, Ankara, Turkey.
Ankara University Faculty of Medicine, Department of Medical Oncology, Ankara, Turkey.
Mol Imaging Radionucl Ther. 2020 Apr 29;29(2):79-81. doi: 10.4274/mirt.galenos.2019.40469.
Brachial plexopathy is a significant cause of pain and disability in patients with breast cancer. Major causes of brachial plexopathy in patients with breast cancer are metastatic invasion or radiation damage to the plexus. Differentiation between the two pathologies is important for appropriate treatment planning. The complicated anatomy of the plexus makes this a difficult area to image accurately. Magnetic resonance imaging (MRI) is the imaging modality of choice for diagnostic evaluation of these cases. We presented a case to demonstrate the role of F-flourodeoxyglucose positron emission tomography/computerized tomography for confirming metastatic brachial plexopathy when MRI findings were suspicious and for differentiating radiation-induced brachial plexopathy from metastatic plexopathy.
臂丛神经病变是乳腺癌患者疼痛和残疾的重要原因。乳腺癌患者臂丛神经病变的主要原因是转移瘤侵犯或放疗对臂丛神经的损伤。区分这两种病理情况对于制定合适的治疗方案很重要。臂丛神经复杂的解剖结构使得这一区域难以准确成像。磁共振成像（MRI）是诊断评估这些病例的首选成像方式。我们报告了1例病例，以说明当MRI检查结果可疑时，18F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（18F-FDG PET/CT）在确诊转移性臂丛神经病变以及区分放射性臂丛神经病变与转移性臂丛神经病变方面的作用。
