Kar Siven, Gupta Harshita, Shaikh Nusrat, Lele Vikram
Department of Nuclear Medicine and PET/CT, Jaslok Hospital and Research Centre, Mumbai, Maharashtra, India.
Indian J Nucl Med. 2024 May-Jun;39(3):213-215. doi: 10.4103/ijnm.ijnm_29_24. Epub 2024 Aug 17.
We present a rare case of mediastinal capillary hemangioma in a 54-year-old female. She presented with back pain in the left suprascapular region, and the chest radiograph revealed left pleural effusion. On further workup with high-resolution computed tomography (CT) chest, a hypervascular pleural-based neoplastic lesion in the left upper hemithorax with gross left pleural effusion and subtotal collapse of the left lung was identified. F-fluorodeoxyglucose positron emission tomography/CT was suggestive of a weakly metabolic well-defined pleural-based soft tissue lesion in the left upper hemithorax along the mediastinal side. Neuroendocrine tumor was suspected. Ga-DOTATATE PET/CT was advised, which showed intense uptake in the lesion. The mass was resected completely. Histopathological examination established the final diagnosis as benign vascular tumor consistent with a capillary hemangioma.
我们报告一例54岁女性纵隔毛细血管瘤的罕见病例。她表现为左肩胛上区背痛,胸部X线片显示左侧胸腔积液。进一步行胸部高分辨率计算机断层扫描(CT)检查时,发现左上半胸有一个以胸膜为基底的高血管性肿瘤病变,伴有大量左侧胸腔积液及左肺部分萎陷。氟脱氧葡萄糖正电子发射断层扫描/CT提示左上半胸纵隔侧有一个代谢较弱、边界清晰的以胸膜为基底的软组织病变。怀疑为神经内分泌肿瘤。建议行镓- DOTATATE PET/CT检查,结果显示病变部位有强烈摄取。肿瘤被完整切除。组织病理学检查最终确诊为与毛细血管瘤相符的良性血管肿瘤。