酷似恶性肿瘤的胸主动脉瘤局限性破裂：一例报告
Contained Rupture of a Thoracic Aortic Aneurysm Mimicking a Malignant Tumor: a Case Report.
作者信息
Chang Hyung Seok, Kim Soo Jeong, Kim Young Hwan
机构信息
Department of Nuclear Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29, Saemunan-ro, Jongno-gu, Seoul, 03181 South Korea.
出版信息
Nucl Med Mol Imaging. 2020 Dec;54(6):315-318. doi: 10.1007/s13139-020-00668-1. Epub 2020 Oct 7.
Abstract
An 81-year-old man underwent F-18 fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) to evaluate a mediastinal mass, which was discovered during the investigation for hemoptysis. The periphery of the mass abutting the aortic arch demonstrated heterogeneously increased FDG uptake, whereas most of the central portion of the mass was photopenic. The mass turned out to be an atheromatous organizing hematoma associated with contained aortic rupture.
摘要
一名81岁男性因咯血检查时发现纵隔肿块，遂行F-18氟脱氧葡萄糖（FDG）正电子发射断层扫描/计算机断层扫描（PET/CT）检查。肿块毗邻主动脉弓的周边部分FDG摄取呈不均匀增加，而肿块的大部分中央部分呈放射性缺损。结果发现该肿块是一个与主动脉夹层破裂相关的动脉粥样硬化性机化血肿。
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本文引用的文献
1
Acute Aortic Syndromes: Diagnostic and Therapeutic Pathways.
Heart Fail Clin. 2020 Jul;16(3):305-315. doi: 10.1016/j.hfc.2020.03.002.
2
Predictors of survival in malignant aortic tumors.
J Vasc Surg. 2020 May;71(5):1771-1780. doi: 10.1016/j.jvs.2019.09.030. Epub 2019 Dec 17.
3
Imaging for acute aortic syndromes.
Heart. 2020 Feb;106(3):182-189. doi: 10.1136/heartjnl-2019-314897. Epub 2019 Dec 10.
4
Hemoptysis secondary to rupture of infected aortic aneurysm- a case report.
J Cardiothorac Surg. 2019 Jul 25;14(1):144. doi: 10.1186/s13019-019-0959-y.
5
Predictive imaging for thoracic aortic dissection and rupture: moving beyond diameters.
Eur Radiol. 2019 Dec;29(12):6396-6404. doi: 10.1007/s00330-019-06320-7. Epub 2019 Jul 5.
6
Role of PET/CT in the Evaluation of Aortic Disease.
Chonnam Med J. 2018 Sep;54(3):143-152. doi: 10.4068/cmj.2018.54.3.143. Epub 2018 Sep 27.
7
Prognostic value of (18)F-fluorodeoxyglucose PET-CT imaging in acute aortic syndromes: comparison with serological biomarkers of inflammation.
Int J Cardiovasc Imaging. 2015 Dec;31(8):1677-85. doi: 10.1007/s10554-015-0725-8. Epub 2015 Jul 29.
8
Thoracic aortic aneurysm and dissection.
J Am Coll Cardiol. 2014 Oct 21;64(16):1725-39. doi: 10.1016/j.jacc.2014.08.025.
9
[Chronic contained rupture of a descending thoracic aortic aneurysm simulating an esophagus tumor. Conventional surgical management].
Rev Port Cir Cardiotorac Vasc. 2009 Jul-Sep;16(3):157-61.
10
[A case of lung cancer mimicking rupture of a thoracic aortic aneurysm].
Nihon Kokyuki Gakkai Zasshi. 2009 Feb;47(2):158-62.
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