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通过PET/CT检查偶然发现的COVID-19肿瘤患者:(COVID-19大流行期间的医学问题)

[Oncologic patient with COVID-19 discovered incidentally by PET/CT examination: (A COVID–19-pandémia orvosszakmai kérdései)].

作者信息

Czibor Sándor, Kristóf Emese, Kecskés Kinga, Barra Magdolna, Szántó Péter, Maurovich-Horvat Pál, Györke Tamás

机构信息

Általános Orvostudományi Kar, Orvosi Képalkotó Klinika, Nukleáris Medicina Tanszék,Semmelweis Egyetem Budapest, Korányi Sándor u. 2., 1083.

Általános Orvostudományi Kar, Orvosi Képalkotó Klinika, Radiológia Tanszék,Semmelweis Egyetem Budapest.

出版信息

Orv Hetil. 2020 Jun;161(23):971-976. doi: 10.1556/650.2020.31848.

Abstract

The scientific literature of coronavirus-disease 2019 (COVID-19) is rapidly expanding. There is a growing evidence on the discrepancy between clinical symptoms and radiologic findings in many patients. This case report gives details about a patient with only mild symptoms but relatively severe radiological findings. The 75-year-old patient suffering from oncologic disease had a planned a F18-fluoro-deoxy-glucose positron-emission tomography/computer tomography scan with a routine oncological indication where incidental radiomorphologic findings of pneumonia suspect for COVID-19 were detected. After immediate isolation, the patient was transferred to the corresponding medical department, where further investigations verified the diagnosis of COVID-19. With this case, our aim is to raise the awareness for the importance of the instant evaluation of chest computer tomography series when performing planned imaging examination, especially in frail patients. With this practice, potential radiomorphologic findings of pneumonia suspect for COVID-19 could be identified in time, which fundamentally determines further patient management steps. Orv Hetil. 2020; 161(23): 971-976.

摘要

2019冠状病毒病(COVID-19)的科学文献正在迅速扩充。越来越多的证据表明,许多患者的临床症状与放射学检查结果存在差异。本病例报告详细介绍了一名仅有轻微症状但放射学检查结果相对严重的患者。这位75岁患有肿瘤疾病的患者计划进行一次F18氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描,这是一次常规的肿瘤学检查,在此过程中偶然发现了疑似COVID-19肺炎的放射形态学表现。立即隔离后,患者被转至相应的医疗科室,进一步检查确诊为COVID-19。通过这个病例,我们旨在提高人们对于在进行计划中的影像学检查时,即时评估胸部计算机断层扫描系列重要性的认识,尤其是对于体弱患者。通过这种做法,可以及时发现疑似COVID-19肺炎的潜在放射形态学表现,这从根本上决定了后续的患者管理步骤。《匈牙利医学周报》。2020年;161(23):971 - 976。

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