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氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描中伪装成胆管癌的原发性胆汁性结核

Primary Biliary Tuberculosis Masquerading Cholangiocarcinoma in F-Fluorodeoxyglucose Positron Emission Tomography/Computed Tomography.

作者信息

Krishna Sarin, Mishra Ajit Kumar, Ravina Mudalsha, Kashyap Yashwanth, Bansal Himanshu, Dasgupta Subhajit

机构信息

Department of Nuclear Medicine, AII India Institute of Medical Sciences, Raipur, Chhattisgarh, India.

Department of General Surgery, DKS Hospital, Raipur, Chhattisgarh, India.

出版信息

Indian J Nucl Med. 2022 Jul-Sep;37(3):265-267. doi: 10.4103/ijnm.ijnm_204_21. Epub 2022 Nov 2.

DOI:10.4103/ijnm.ijnm_204_21
PMID:36686295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9855251/
Abstract

Hepatobiliary involvement is a less common manifestation of abdominal tuberculosis. We present the case of a 42-year-old female who presented with fever, abdominal pain, and jaundice of 2 months duration. F-fluorodeoxyglucose positron emission tomography/computed tomography done for disease evaluation suggested the likely possibility of cholangiocarcinoma but excision biopsy from periportal lymph node later confirmed a granulomatous etiology and she was successfully treated with antitubercular therapy.

摘要

肝胆受累是腹部结核较少见的表现形式。我们报告一例42岁女性患者，其出现发热、腹痛及持续2个月的黄疸症状。为评估病情进行的F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描提示可能为胆管癌，但随后对肝门淋巴结进行的切除活检证实为肉芽肿性病因，她接受抗结核治疗后获得成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbbe/9855251/a5d47cda6f0a/IJNM-37-265-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbbe/9855251/a5d47cda6f0a/IJNM-37-265-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbbe/9855251/a5d47cda6f0a/IJNM-37-265-g001.jpg

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本文引用的文献

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Tuberculous common bile duct stricture mimicking a cholangiocarcinoma: A case report.酷似胆管癌的结核性胆总管狭窄：一例报告
Radiol Case Rep. 2021 Apr 1;16(6):1311-1314. doi: 10.1016/j.radcr.2021.03.001. eCollection 2021 Jun.
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Tuberculous lymphadenitis as a cause of obstructive jaundice: a case report and literature review.结核性淋巴结炎作为梗阻性黄疸的病因：一例病例报告及文献综述
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Mirizzi syndrome with cholecysto-choledocal fistula with a high CA19-9 level mimicking biliary malignancies: a case report.伴有胆囊胆总管瘘且 CA19-9 水平升高、酷似胆道恶性肿瘤的 Mirizzi 综合征：一例报告
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Tuberculous biliary strictures: uncommon cause of obstructive jaundice.结核性胆管狭窄：梗阻性黄疸的罕见病因。
Australas Radiol. 2001 Aug;45(3):365-8. doi: 10.1046/j.1440-1673.2001.00940.x.
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Biliary tuberculosis mimicking cholangiocarcinoma: treatment with metallic biliary endoprothesis.酷似胆管癌的胆道结核：金属胆道内支架治疗
Am J Gastroenterol. 2000 Apr;95(4):1069-71. doi: 10.1111/j.1572-0241.2000.01944.x.
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Mirizzi's syndrome with a high CA19-9 level mimicking cholangiocarcinoma.伴有高CA19-9水平的Mirizzi综合征酷似胆管癌。
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