From the Department of Nuclear Medicine, Peking University First Hospital, Beijing, China.
Department of Neurology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Clin Nucl Med. 2024 Jul 1;49(7):680-682. doi: 10.1097/RLU.0000000000005234. Epub 2024 Apr 5.
A 72-year-old man presented with a painless penile mass for 3 months. Contrast-enhanced CT revealed heterogeneous enhancement, whereas 18 F-FDG PET/CT displayed inhomogeneous 18 F-FDG accumulation in the lesion without other abnormal activity. The histopathological examination from biopsied specimen confirmed the diagnosis of a plasmacytoma. However, the subsequent tests, including serum/urine immunofixation electrophoresis, serum/urine free light chain assay, and bone marrow smear/biopsy, did not show any abnormalities. The conclusive diagnosis was a solitary extramedullary plasmacytoma of the penis.
一位 72 岁男性因无痛性阴茎肿块就诊,病程 3 个月。增强 CT 显示病变不均匀强化,而 18 F-FDG PET/CT 显示病变不均匀摄取 18 F-FDG,无其他异常活性。活检标本的组织病理学检查证实为浆细胞瘤的诊断。然而,随后的检查,包括血清/尿液免疫固定电泳、血清/尿液游离轻链测定和骨髓涂片/活检,均未显示任何异常。最终诊断为阴茎孤立性髓外浆细胞瘤。