肾移植后移植后淋巴增殖性疾病的F-FDG PET/CT成像：三例临床病例
F-FDG PET/CT imaging of posttransplant lymphoproliferative disorder following renal transplantation: Three clinical cases.
作者信息
Pan Bo, Zhu Xingxing
机构信息
Division of PET/CT, Department of Nuclear Medicine, The First Affiliated Hospital of USTC, Hefei, 230001, China.
出版信息
Heliyon. 2023 Mar 22;9(4):e14746. doi: 10.1016/j.heliyon.2023.e14746. eCollection 2023 Apr.
Abstract
Posttransplant lymphoproliferative disorder (PTLD) is a serious complication of kidney transplantation, and whole-body F- FDG PET/CT imaging plays a key role in patients with PTLD. This article reports three cases of F-FDG PET/CT manifestations of gastric, prostate, and pulmonary lymphomas after kidney transplantation, all of which showed local lesions without involvement of adjacent or distant lymph nodes and lymphoid node organs. All patients were treated with a reduced dose of R-CHOP and were generally in a good condition after discharge. Early diagnosis and reasonable treatment are key factors in achieving a better prognosis in patients with PTLD, and whole-body F-FDG PET/CT imaging plays an important role in the diagnosis and monitoring of PTLD.
摘要
移植后淋巴细胞增生性疾病（PTLD）是肾移植的一种严重并发症，全身F-FDG PET/CT成像在PTLD患者中起着关键作用。本文报道了3例肾移植后胃、前列腺和肺淋巴瘤的F-FDG PET/CT表现，所有病例均显示局部病变，未累及相邻或远处淋巴结及淋巴器官。所有患者均接受了减量的R-CHOP治疗，出院后一般情况良好。早期诊断和合理治疗是PTLD患者获得较好预后的关键因素，全身F-FDG PET/CT成像在PTLD的诊断和监测中发挥着重要作用。
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