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氟脱氧葡萄糖正电子发射断层扫描-计算机断层扫描对结直肠癌门静脉肿瘤血栓形成的诊断及其临床意义

Diagnosis of portal vein tumor thrombosis in colorectal carcinoma in fluorodeoxyglucose positron emission tomography-computed tomography scan and its clinical implication.

作者信息

Shah Digish

机构信息

Nuclear Medicine and PET CT Department, HCG Cancer Hospital, Ahmedabad, Gujarat, India.

出版信息

World J Nucl Med. 2020 Jul 22;19(3):296-300. doi: 10.4103/wjnm.WJNM_84_19. eCollection 2020 Jul-Sep.

DOI:10.4103/wjnm.WJNM_84_19
PMID:33354191
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7745873/
Abstract

Hypercoagulable state is seldom associated with colorectal carcinoma either in the form of bland thrombosis or tumor thrombosis (TT). Venous TT should not be overlooked while deciding treatment of colorectal cancer due to its propensity to complicate the disease in terms of morbidity and mortality even in favorable prognostic case of colorectal cancer. Fluorodeoxyglucose positron emission tomography-contrast-enhanced computed tomography (FDG PET-CECT) scan has proven its role in staging of colorectal cancer and also to diagnose tumor venous thrombosis. Here, we are presenting a case of a 61-year-old male patient having adenocarcinoma of rectosigmoid colon, and on pretherapy FDG PET-CECT scan, he was found with portal vein TT and its related complication which is helpful for staging, treatment planning, and prognostication.

摘要

高凝状态很少与结直肠癌相关，无论是以单纯性血栓形成还是肿瘤血栓形成（TT）的形式。静脉肿瘤血栓在决定结直肠癌治疗时不应被忽视，因为即使在结直肠癌预后良好的情况下，它也有使疾病在发病率和死亡率方面复杂化的倾向。氟脱氧葡萄糖正电子发射断层扫描-对比增强计算机断层扫描（FDG PET-CECT）已证明其在结直肠癌分期以及诊断肿瘤静脉血栓形成方面的作用。在此，我们报告一例61岁男性患者，患有乙状结肠直肠癌，在治疗前的FDG PET-CECT扫描中，发现其存在门静脉肿瘤血栓及其相关并发症，这有助于分期、治疗规划和预后评估。

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本文引用的文献

1
Colorectal cancer with venous tumor thrombosis.结直肠癌伴静脉瘤栓。
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5
Primary pancreatic Ewing's sarcoma with portal vein tumor thrombosis.胰腺原发性尤文肉瘤合并门静脉癌栓。
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6
Hepatocellular carcinoma presenting as an incidental isolated malignant portal vein thrombosis.肝细胞癌表现为偶然发现的孤立性恶性门静脉血栓形成。
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7
Portal vein tumor thrombus from colorectal cancer with no definite metastatic nodules in liver parenchyma.来自结直肠癌的门静脉肿瘤血栓，肝实质内无明确转移结节。
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FDG uptake in tumor thrombus in inferior vena cava from rectal cancer on positron emission tomography.正电子发射断层扫描显示直肠癌患者下腔静脉内肿瘤血栓的氟代脱氧葡萄糖摄取情况。
Clin Nucl Med. 2005 May;30(5):342-3. doi: 10.1097/01.rlu.0000159683.54083.17.
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Hepatic resection for colorectal metastasis with macroscopic tumor thrombus in the portal vein.伴有门静脉肉眼可见肿瘤血栓的结直肠癌肝转移灶的肝切除术。
World J Surg. 2003 Mar;27(3):299-303. doi: 10.1007/s00268-002-6716-7. Epub 2003 Feb 27.