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缓解30年后,肾细胞癌转移复发,在18F-FDG和68Ga-DOTATATE PET/CT上表现为酷似胰腺神经内分泌肿瘤。

After 30 Years of Remission, Recurrence With Renal Cell Carcinoma Metastasis Mimicking Pancreatic Neuroendocrine Tumor on 18 F-FDG and 68 Ga-DOTATATE PET/CT.

作者信息

Aydinbelge Dizdar Nur, Erdem Karaoglu Aysenur, Ozmen Ozlem, Kaya Ozge

机构信息

From the Department of Nuclear Medicine, Ankara Etlik City Hospital, Ankara, Turkiye.

Department of Pathology, Ankara Etlik City Hospital, Ankara, Turkiye.

出版信息

Clin Nucl Med. 2025 Mar 1;50(3):227-230. doi: 10.1097/RLU.0000000000005550. Epub 2024 Nov 27.

Abstract

A 75-year-old man with a previous history of left nephrectomy for clear cell renal cell carcinoma in remission was underwent 68 Ga-DOTATATE PET/CT imaging for evaluation of pancreatic body lesion. It showed a mass with intense 68 Ga-DOTATATE uptake in the pancreatic corpus. During the follow-up of the patient who did not want to undergo surgery, 18 F-FDG PET/CT scan was performed due to the increase in the size of the mass, and mild FDG uptake was detected in the pancreatic corpus lesion, and histopathological examination was confirmed as renal cell carcinoma metastasis.

摘要

一名75岁男性,既往因透明细胞肾细胞癌行左肾切除术,目前处于缓解期,因评估胰体部病变接受了68Ga-DOTATATE PET/CT成像检查。结果显示胰体部有一个68Ga-DOTATATE摄取强烈的肿块。在对不愿接受手术的患者进行随访期间,由于肿块增大进行了18F-FDG PET/CT扫描,发现胰体部病变有轻度FDG摄取,组织病理学检查证实为肾细胞癌转移。

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