Dai Z H, Wang Z T, Chen J Y
Wuxi People's Hospital Affiliated to Nanjing Medical University, Department of Thoracic Surgery, Wuxi 214023, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 May 20;40(5):378-380. doi: 10.3760/cma.j.cn121094-20210329-00170.
Occupational pneumoconiosis is one of the main occupational diseases in China. Progressive massive fibrosis in pneumoconiosis should be distinguished from lung cancer for their similar imaging features which is often identified by (18)F-FDG PET-CT in clinic. Here we reported two cases of pneumoconiosis. Both of them were suspected of carrying malignant tumors by preoperative PET-CT exam, however, nodules in these two patients were all proved to be benign by intraoperative pathology which suggested that there is false-positive possibility in the distinguishment of pneumoconiosis nodules by (18)F-FDG PET-CT.
职业性尘肺病是我国主要的职业病之一。尘肺病中的进行性大块纤维化应与肺癌相鉴别,因为它们在影像学上有相似特征,临床上常通过(18)F-FDG PET-CT来识别。在此我们报告两例尘肺病病例。这两名患者术前PET-CT检查均怀疑患有恶性肿瘤,但术中病理证实这两名患者的结节均为良性,这表明(18)F-FDG PET-CT在鉴别尘肺病结节时存在假阳性的可能性。