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经手术切除的滤泡性胆管炎病例,该病例在 F-氟脱氧葡萄糖正电子发射断层扫描上呈阳性。

A Resected Case of Follicular Cholangitis That Was Positive on F-fluorodeoxyglucose-positron Emission Tomography.

机构信息

Department of Gastroenterology and Hepatology, Kusunoki Hospital, Japan.

Department of Gastroenterology and Hepatology, Takasaki General Medical Center, Japan.

出版信息

Intern Med. 2020 Sep 1;59(17):2123-2128. doi: 10.2169/internalmedicine.4611-20. Epub 2020 May 23.

Abstract

We experienced a case of follicular cholangitis that was positive on fluorodeoxyglucose-positron emission tomography (F-FDG-PET). A 70-year-old man was admitted for jaundice. Endoscopic retrograde cholangiography showed stenosis of the middle to upper choledocus. F-FDG-PET depicted a localized hot spot at the stenotic lesion (maximum standardized uptake value = 8.2). Although no malignant findings were found in the cytology or on a bile duct biopsy, malignancy could not be excluded, so surgical treatment was performed. Follicular cholangitis is a new, rare disease that causes severe biliary stricture. Only 11 cases of follicular cholangitis have been reported, including the present case.

摘要

我们遇到了一例氟脱氧葡萄糖正电子发射断层扫描(F-FDG-PET)阳性的滤泡性胆管炎病例。一名 70 岁男性因黄疸入院。内镜逆行胰胆管造影显示胆总管中段至上段狭窄。F-FDG-PET 在狭窄病变处显示局部热点(最大标准化摄取值=8.2)。尽管细胞学检查或胆管活检均未发现恶性发现,但不能排除恶性肿瘤,因此进行了手术治疗。滤泡性胆管炎是一种新的罕见疾病,可引起严重的胆管狭窄。目前共报道了 11 例滤泡性胆管炎病例,包括本病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5358/7516323/860b4d90e639/1349-7235-59-2123-g001.jpg

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