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淋巴管肉瘤的氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描：一例报告并文献复习

F-FDG PET/CT in lymphangiosarcoma: A case report and review of literature.

作者信息

Gupta Nitin

机构信息

Department of Nuclear medicine, Dr Rajendra Prasad government medical college, India.

出版信息

Asia Ocean J Nucl Med Biol. 2025;13(1):107-113. doi: 10.22038/aojnmb.2024.77689.1548.

DOI:10.22038/aojnmb.2024.77689.1548
PMID:39744052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11682481/
Abstract

OBJECTIVES

Lymphangiosarcoma is a rare tumor that affects the upper limbs of patients who have undergone breast cancer surgery, including axillary dissection, followed by radiation therapy (RT) to the axilla and has a poor prognosis. F-FDG PET/CT may enable the earlier detection of malignant transformation in a setting of chronic lymphedema and help evaluate the extent and staging of the tumor, allowing earlier initiation of treatment options.

CASE PRESENTATION

We herein report a case of cutaneous lymphangiosarcoma in a 47-year-old breast carcinoma patient, which occurred 9 years after initial surgery and radiation therapy. Distant metastases were detected on F-FDG PET/CT. The patient underwent fore-quarter amputation of the upper limb and concurrent chemo-radiation therapy. However, she succumbed to her disease after 3 cycles of chemotherapy.

CONCLUSIONS

F-FDG PET/CT scan helps in the early detection of malignant transformation and lymphangiosarcoma in a setting of chronic lymphedema in breast carcinoma patients following radiation therapy to the axilla. Furthermore, it helps determine the extent of regional spread and detect metastatic involvement, thus enabling better clinical management of these patients.

摘要

目的

淋巴管肉瘤是一种罕见肿瘤，会影响接受过乳腺癌手术（包括腋窝清扫）且随后接受腋窝放疗的患者的上肢，预后较差。F-FDG PET/CT 可能有助于在慢性淋巴水肿情况下更早地检测到恶性转化，并有助于评估肿瘤的范围和分期，从而能够更早地开始治疗方案。

病例报告

我们在此报告一例 47 岁乳腺癌患者发生皮肤淋巴管肉瘤的病例，该病例在初次手术和放疗后 9 年出现。F-FDG PET/CT 检测到远处转移。患者接受了上肢前半侧截肢及同步放化疗。然而，她在 3 个周期化疗后因病死亡。

结论

F-FDG PET/CT 扫描有助于在乳腺癌患者腋窝放疗后慢性淋巴水肿情况下早期检测到恶性转化和淋巴管肉瘤。此外，它有助于确定区域扩散的范围并检测转移受累情况，从而实现对这些患者更好的临床管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/521fdc8c33c5/AOJNMB-13-107-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/e687868067cb/AOJNMB-13-107-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/aa0276ccaf55/AOJNMB-13-107-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/48a6b1e6de4b/AOJNMB-13-107-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/418dc88b82b4/AOJNMB-13-107-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/521fdc8c33c5/AOJNMB-13-107-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/e687868067cb/AOJNMB-13-107-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/aa0276ccaf55/AOJNMB-13-107-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/48a6b1e6de4b/AOJNMB-13-107-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/418dc88b82b4/AOJNMB-13-107-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed67/11682481/521fdc8c33c5/AOJNMB-13-107-g005.jpg

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Distant metastases in a young woman with Stewart-Treves syndrome demonstrated by an FDG-PET/CT scan.FDG-PET/CT 扫描显示年轻女性患有 Stewart-Treves 综合征伴远处转移。
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