F-18 FDG PET/CT 对肝脾结核的诊断及疗效评估的作用。

The utility of F-18 FDG PET/CT for diagnosis and response evaluation of hepatosplenic tuberculosis.

机构信息

Department of Nuclear Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, South Korea.

出版信息

Liver Int. 2023 Mar;43(3):733-734. doi: 10.1111/liv.15530. Epub 2023 Feb 5.

DOI:10.1111/liv.15530

PMID:36721981

Abstract

A 77-year-old woman underwent F-18 FDG PET/CT for evaluation of fever focus. Diffuse and intense hepatosplenic uptake was noted and lymphoma or tuberculosis was proposed. Liver biopsy revealed chronic granulomatous inflammation with Langerhans-type giant cells and necrosis. A follow-up PET/CT after anti-tuberculosis treatment revealed that the hepatosplenic uptake had resolved.

摘要

一位 77 岁女性因发热病灶接受 F-18 FDG PET/CT 检查。结果显示弥漫性和强烈的肝脾摄取，提示淋巴瘤或结核病可能。肝活检显示伴有朗格汉斯型巨细胞和坏死的慢性肉芽肿性炎症。抗结核治疗后的随访 PET/CT 显示肝脾摄取已消退。