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黏液性脐尿管腺癌:氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描中一种潜在的非氟代脱氧葡萄糖摄取性陷阱。

Mucinous urachal adenocarcinoma: A potential nonfluorodeoxyglucose-avid pitfall on fluorine-fluorodeoxyglucose positron emission tomography/computed tomography.

作者信息

Das Jeeban Paul, Vargas Hebert Alberto, Ulaner Gary A

机构信息

Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, USA.

Department of Radiology, Weill Cornell Medical College, New York, USA.

出版信息

World J Nucl Med. 2020 Sep 14;19(4):432-434. doi: 10.4103/wjnm.WJNM_60_19. eCollection 2020 Oct-Dec.

Abstract

Mucinous adenocarcinoma of the urachal remnant is a nonurothelial malignancy that may be asymptomatic until locally advanced or metastatic. We describe a 37-year-old woman with invasive ductal breast carcinoma who underwent Fluorine-fluorodeoxyglucose (F-FDG) positron emission tomography (PET) computed tomography (CT) demonstrating a non-FDG avid pelvic mass, initially suspected to represent a pedunculated uterine fibroid. Magnetic resonance imaging revealed a mixed solid-cystic mass separate from the uterus, suspicious for urachal neoplasm, confirmed as mucinous adenocarcinoma on histopathology. Urachal tumors may not be FDG-avid and represent a potential pitfall on FDG PET/CT.

摘要

脐尿管残余黏液腺癌是一种非尿路上皮恶性肿瘤,在局部进展或转移之前可能没有症状。我们描述了一名37岁患有浸润性导管癌的女性,她接受了氟脱氧葡萄糖(F-FDG)正电子发射断层扫描(PET)计算机断层扫描(CT),显示出一个不摄取FDG的盆腔肿块,最初怀疑是带蒂的子宫肌瘤。磁共振成像显示一个与子宫分离的混合实性囊性肿块,怀疑为脐尿管肿瘤,组织病理学证实为黏液腺癌。脐尿管肿瘤可能不摄取FDG,这在FDG PET/CT上是一个潜在的陷阱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8079/7875043/d068fa761948/WJNM-19-432-g001.jpg

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