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本文引用的文献

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Interference of Known or Suspected Endometriosis in Reporting FDG PET/CT Performed in Another Indication.已知或疑似子宫内膜异位症对其他适应证行 FDG PET/CT 检查报告的干扰。
Clin Nucl Med. 2022 Apr 1;47(4):305-313. doi: 10.1097/RLU.0000000000004049.
2
Endometriosis.子宫内膜异位症。
Endocr Rev. 2019 Aug 1;40(4):1048-1079. doi: 10.1210/er.2018-00242.
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F-Fluorocholine Uptake and Positron Emission Tomography Imaging in Rat Peritoneal Endometriosis.F-氟胆碱摄取与正电子发射断层扫描成像在大鼠腹膜子宫内膜异位症中的应用
Reprod Sci. 2018 Jan;25(1):19-25. doi: 10.1177/1933719117728799. Epub 2017 Sep 6.
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Diagnostic value of combining ¹¹C-choline and ¹⁸F-FDG PET/CT in hepatocellular carcinoma.¹¹C-胆碱与¹⁸F-FDG PET/CT联合应用在肝细胞癌中的诊断价值
Eur J Nucl Med Mol Imaging. 2016 May;43(5):852-859. doi: 10.1007/s00259-015-3241-0. Epub 2015 Nov 18.
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Diagnostic role of radiolabelled choline PET or PET/CT in hepatocellular carcinoma: a systematic review and meta-analysis.放射性标记胆碱PET或PET/CT在肝细胞癌中的诊断作用:一项系统评价和荟萃分析
Hepatol Int. 2014 Oct;8(4):493-500. doi: 10.1007/s12072-014-9566-0. Epub 2014 Sep 3.
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Metastasis of hepatocellular carcinoma to the ovary: a case report and review of the literature.肝细胞癌转移至卵巢:病例报告及文献复习。
Gut Liver. 2011 Dec;5(4):543-7. doi: 10.5009/gnl.2011.5.4.543. Epub 2011 Nov 21.
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Evaluation of 18FDG PET-CT in the diagnosis of endometriosis: a prospective study.18FDG PET-CT 诊断子宫内膜异位症的评价:一项前瞻性研究。
Reprod Sci. 2011 Jun;18(6):540-4. doi: 10.1177/1933719110392060. Epub 2011 Feb 1.
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Extrahepatic metastases of hepatocellular carcinoma.肝细胞癌的肝外转移
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Hepatocellular carcinoma metastatic to the ovary: a case report.肝细胞癌转移至卵巢:一例报告
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在一名子宫内膜异位症患者中,通过F-氟胆碱PET/CT诊断出肝细胞癌的双侧卵巢转移。

Bilateral Ovarian Metastases of Hepatocellular Carcinoma Diagnosed with F-Fluorocholine PET/CT in a Patient with Endometriosis.

作者信息

Latgé Adrien, Averous Gerlinde, Gressel Anne, Faitot François, Leroy-Freschini Benjamin

机构信息

Department of Nuclear Medicine & Molecular Imaging, Institut de Cancérologie de Strasbourg Europe (ICANS), Strasbourg, France.

Department of Pathology, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, Strasbourg, France.

出版信息

Nucl Med Mol Imaging. 2023 Oct;57(5):251-253. doi: 10.1007/s13139-023-00796-4. Epub 2023 Apr 14.

DOI:10.1007/s13139-023-00796-4
PMID:37720883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10504130/
Abstract

A 47-year-old woman with history of hepatocellular carcinoma was referred for F-fluorocholine PET/CT evaluation due to elevated alpha-fetoprotein. The examination showed several peritoneal uptakes and two nodular pelvic foci. Coelioscopic exploration allowed confirmation and resection of multiple peritoneal metastases from hepatocellular carcinoma while pelvic biopsies revealed endometriosis and endosalpingiosis. However, alpha-fetoprotein kept rising: subsequent F-fluorodesoxyglucose PET/CT exploration found no pelvic uptake, while F-fluorocholine PET/CT revealed intense tracer accumulation in the two pelvic masses corresponding to bilateral ovarian metastases of hepatocellular carcinoma. We highlight the importance of F-fluorocholine PET/CT in hepatocellular carcinoma especially in patients with confounding comorbidities such as endometriosis.

摘要

一名有肝细胞癌病史的47岁女性因甲胎蛋白升高而接受F-氟胆碱PET/CT评估。检查显示有多处腹膜摄取及两个盆腔结节灶。腹腔镜探查证实并切除了肝细胞癌的多处腹膜转移灶,而盆腔活检显示为子宫内膜异位症和输卵管内膜异位症。然而,甲胎蛋白持续升高:随后的F-氟脱氧葡萄糖PET/CT检查未发现盆腔摄取,而F-氟胆碱PET/CT显示在对应于肝细胞癌双侧卵巢转移的两个盆腔肿块中有强烈的示踪剂积聚。我们强调F-氟胆碱PET/CT在肝细胞癌中的重要性,尤其是在患有诸如子宫内膜异位症等混淆合并症的患者中。