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成人朗格汉斯细胞组织细胞增多症:氟代脱氧葡萄糖正电子发射断层扫描-计算机断层扫描(FDG PET-CT)检测到的孤立性和多系统受累情况

Adult Langerhans Cell Histiocytosis: Solitary and Multisystemic Involvement Detected on FDG PET-CT Scan.

作者信息

Wagle Aishwarya, Pereira Melvika, Singh Natasha, Shivdasani Divya, Kumar Lokesh, Singh Janpreet, Sujith Sreelakshmi

机构信息

Nuclear Medicine, Department of Imaging, P. D. Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

P. D. Hinduja Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

出版信息

Indian J Nucl Med. 2025 Jan-Feb;40(1):44-46. doi: 10.4103/ijnm.ijnm_97_24. Epub 2025 May 16.

DOI:10.4103/ijnm.ijnm_97_24
PMID:40453433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12121838/
Abstract

Langerhans Cell Histiocytosis (LCH) is a rare neoplasm of the hematopoietic system, characterized by the clonal proliferation of Langerhans cells and it is more common in children. We present two interesting adult cases of LCH, diagnosed with the help of FDG PET-CT imaging which is often challenging to diagnose due to its rarity and nonspecific clinical presentation.

摘要

朗格汉斯细胞组织细胞增多症(LCH)是一种罕见的造血系统肿瘤,其特征为朗格汉斯细胞的克隆性增殖,在儿童中更为常见。我们报告两例有趣的成人LCH病例,借助氟代脱氧葡萄糖正电子发射断层扫描-计算机断层扫描(FDG PET-CT)成像得以诊断,由于其罕见性和非特异性临床表现,LCH的诊断通常具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/904a/12121838/0f5498bb399c/IJNM-40-44-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/904a/12121838/0d6e80b96307/IJNM-40-44-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/904a/12121838/0f5498bb399c/IJNM-40-44-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/904a/12121838/0d6e80b96307/IJNM-40-44-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/904a/12121838/0f5498bb399c/IJNM-40-44-g002.jpg

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本文引用的文献

1
International expert consensus recommendations for the diagnosis and treatment of Langerhans cell histiocytosis in adults.国际专家共识建议:成人朗格汉斯细胞组织细胞增生症的诊断与治疗。
Blood. 2022 Apr 28;139(17):2601-2621. doi: 10.1182/blood.2021014343.
2
Hepatic Langerhans cell histiocytosis: A review.肝朗格汉斯细胞组织细胞增多症:综述
World J Clin Oncol. 2021 May 24;12(5):335-341. doi: 10.5306/wjco.v12.i5.335.
3
Clinicoradiological Discrepancy in Multisystem Langerhans Cell Histiocytosis with Central Nervous System Involvement.
多系统朗格汉斯细胞组织细胞增多症伴中枢神经系统受累的临床放射学差异
Gulf J Oncolog. 2019 Sep;1(31):72-77.
4
Adult disseminated Langerhans cell histiocytosis: incidence, racial disparities and long-term outcomes.成人播散性朗格汉斯细胞组织细胞增多症:发病率、种族差异及长期预后
Br J Haematol. 2018 Aug;182(4):579-581. doi: 10.1111/bjh.14818. Epub 2017 Jun 27.