From the Department of Nuclear Medicine, Peking University First Hospital, Beijing, China.
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Clin Nucl Med. 2020 Jul;45(7):572-574. doi: 10.1097/RLU.0000000000003065.
A 48-year-old woman presented with refractory oral ulcers and skin rashes on the palms and trunk, diagnosed as paraneoplastic pemphigus. The chest x-ray revealed a mass in the right lower chest, and the F-FDG PET/CT scan showed the lesion in the right anterior-inferior mediastinum with intense F-FDG uptake, accompanied by right parasternal adenopathy and pleural effusion. The surgical pathology proved a follicular dendritic cell sarcoma, with right parasternal lymph node metastasis.
一位 48 岁女性因难治性口腔溃疡和手掌及躯干皮疹就诊,被诊断为副肿瘤性天疱疮。胸部 X 线片显示右下胸部有一肿块,18F-FDG PET/CT 扫描显示右前下纵隔病变摄取 18F-FDG 明显增加,伴有右侧胸骨旁淋巴结肿大和胸腔积液。手术病理证实为滤泡树突细胞肉瘤,伴右侧胸骨旁淋巴结转移。