Kikuchi Yuka, Mori Mio, Fujioka Tomoyuki, Yamaga Emi, Oda Goshi, Nakagawa Tsuyoshi, Koyanagi Anri, Tomii Shohei, Kubota Kazunori, Tateishi Ukihide
Department of Diagnostic Radiology, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113 - 8510, Japan.
Department of Surgery, Breast Surgery, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113 - 8510, Japan.
Eur J Radiol Open. 2020 Sep 3;7:100261. doi: 10.1016/j.ejro.2020.100261. eCollection 2020.
A 74 year old Japanese woman was diagnosed with invasive breast carcinoma. Her axillary lymph node was slightly swollen and had a short-axis diameter of 8 mm, but fine-needle aspiration did not lead to the diagnosis of metastasis. Subsequent 18F-fluorodeoxyglucose positron emission tomography/computed tomography showed no abnormal accumulation on the lymph node. Ultrafast dynamic magnetic resonance imaging yielded a very fast contrast enhancement like that of the primary lesion based on which we suspected lymph node metastasis. To our knowledge, this is the first report that shows that ultrafast imaging has contributed to the diagnosis of axillary lymph node metastasis.
一名74岁的日本女性被诊断为浸润性乳腺癌。她的腋窝淋巴结稍有肿大,短轴直径为8毫米,但细针穿刺活检未确诊为转移。随后的18F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描显示该淋巴结无异常摄取。超快动态磁共振成像显示出与原发灶相似的非常快速的对比增强,基于此我们怀疑有淋巴结转移。据我们所知,这是第一份表明超快成像有助于腋窝淋巴结转移诊断的报告。