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18F-胆碱 PET/CT 中前列腺癌骨寡转移的假阳性:警惕慢性血管陷阱。

A False-Positive Bone Oligometastatic Prostate Cancer in 18 F-Choline PET/CT : Be Aware of Chronic Vascular Pitfalls.

机构信息

From the Centre Léon Bérard.

出版信息

Clin Nucl Med. 2023 Dec 1;48(12):1059-1061. doi: 10.1097/RLU.0000000000004883. Epub 2023 Sep 29.

DOI:10.1097/RLU.0000000000004883
PMID:37796178
Abstract

We report the case of a 71-year-old man undergoing initial assessment for a high-risk group prostate adenocarcinoma. His medical history includes gastric carcinoma treated with surgery and chemotherapy. 18 F-choline PET/CT was performed for initial staging and displayed several intense foci uptake of sternum and thoracic vertebrae, suggestive of bone metastasis. Because of a chronic right jugulosubclavian confluent thrombosis related to his implantable chamber, a control was performed 3 weeks later. It showed spontaneous disappearance of those uptakes, consistent with pitfalls related to the collateral circulation induced by the chronic right subclavian vein thrombosis, despite the chronic anticoagulation.

摘要

我们报告了一例 71 岁男性,患有高危组前列腺腺癌,正在进行初始评估。他的病史包括接受手术和化疗治疗的胃癌。进行 18 F-胆碱 PET/CT 初始分期,显示胸骨和胸椎有几个强烈的焦点摄取,提示骨转移。由于与他的植入式腔室相关的慢性右颈静脉锁骨下融合血栓形成,3 周后进行了控制。尽管存在慢性抗凝,摄取的情况仍然自发消失,这与慢性右锁骨下静脉血栓形成引起的侧支循环相关的陷阱一致。

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