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病例报告:胸段神经鞘瘤在F-胆碱PET/CT和F-FDG PET/CT检查中均为诊断陷阱。

Case report: Thoracic schwannoma as a diagnostic pitfall in both F-Choline PET/CT and F-FDG PET/CT.

作者信息

Amrane Karim, Le Meur Coline, Alemany Pierre, Niel Clémence, Renault David, Peillon Inès, Tissot Valentin, Abgral Ronan

机构信息

Department of Oncology, Regional Hospital of Morlaix, Morlaix, France.

Inserm, UMR1227, Lymphocytes B et Autoimmunité, Univ Brest, Inserm, LabEx IGO, Brest, France.

出版信息

Front Oncol. 2024 Oct 8;14:1467344. doi: 10.3389/fonc.2024.1467344. eCollection 2024.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4171/11493534/2125ea68de4c/fonc-14-1467344-g001.jpg

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