18F-FDG PET/CT显示肱骨转移为肺腺癌的首发表现

The Humeral Metastasis as the Initial Presentation of Lung Adenocarcinoma Revealed by 18F-FDG PET/CT.

作者信息

Hou Guozhu, Peng Pan, Zhao Yiting, Zheng Rong

机构信息

From the Department of Nuclear Medicine (PET-CT Center), National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China; and Department of Nuclear Medicine (PET-CT Center), National Cancer Center, National Clinical Research Center for Cancer, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Langfang, China.

出版信息

Clin Nucl Med. 2023 Mar 1;48(3):280-281. doi: 10.1097/RLU.0000000000004502. Epub 2022 Dec 24.

DOI:10.1097/RLU.0000000000004502

PMID:36723890

Abstract

Lung adenocarcinoma with humeral metastasis as the initial presentation is rare. We reported FDG PET/CT findings of solitary humeral metastasis from adenocarcinoma of the lung in a 57-year-old man with the right upper arm pain as the initial presentation. MRI showed bone destruction of the right humerus with a soft tissue mass, suggesting the possibility of malignancy. FDG PET/CT showed that the right humeral mass had strong activity, and there were additional FDG lesions in the right armpit, left apical lung, and left adrenal gland, which was later confirmed as humeral metastasis from lung adenocarcinoma by pathological examination.

摘要

以肱骨转移为首发表现的肺腺癌较为罕见。我们报告了一例57岁男性，以右上臂疼痛为首发表现，FDG PET/CT显示为肺腺癌孤立性肱骨转移。MRI显示右肱骨骨质破坏并伴有软组织肿块，提示恶性可能性。FDG PET/CT显示右肱骨肿块有强烈活性，右腋窝、左肺尖和左肾上腺还有其他FDG病灶， later confirmed as humeral metastasis from lung adenocarcinoma by pathological examination这句话有误，正确的应该是“后经病理检查证实为肺腺癌肱骨转移” 。