Amrane Karim, Le Meur Coline, Alemany Pierre, Niel Clémence, Renault David, Peillon Inès, Tissot Valentin, Abgral Ronan
Department of Oncology, Regional Hospital of Morlaix, Morlaix, France.
Inserm, UMR1227, Lymphocytes B et Autoimmunité, Univ Brest, Inserm, LabEx IGO, Brest, France.
Front Oncol. 2024 Oct 8;14:1467344. doi: 10.3389/fonc.2024.1467344. eCollection 2024.
We report increased F-FDG uptake in the right posterior mediastinal region in a 70-year-old woman following the discovery of a mass in the aftermath of a bronchitis episode. We also report increased F-Choline uptake in the right posterior mediastinal region in a 66-year-old man with newly discovered prostate cancer, which may indicate the presence of mediastinal metastases. Both patients had a thoracic MRI showing an intense gadolinium enhancement in the same region, consistent with thoracic schwannomas, which were subsequently proven histologically. This case highlights that schwannoma is a diagnostic pitfall in both F-FDG and F-Choline PET/CT.
我们报告了一名70岁女性在支气管炎发作后发现肿块,其右后纵隔区域的F-FDG摄取增加。我们还报告了一名66岁新诊断为前列腺癌的男性,其右后纵隔区域的F-胆碱摄取增加,这可能提示纵隔转移的存在。两名患者的胸部MRI均显示同一区域有强烈的钆增强,符合胸段神经鞘瘤,随后经组织学证实。该病例强调神经鞘瘤在F-FDG和F-胆碱PET/CT检查中均为诊断陷阱。