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肺癌中一种心形病变的独特表现。

Unique Presentation of a Heart-shaped Lesion in Lung Cancer.

作者信息

Goyal Harish, Sainath Ragire, Viswanathan Rahul, Ganesan Prasanth, Halanaik Dhanapathi

机构信息

Department of Nuclear Medicine, Jawaharlal Institute of Postgraduate Medical Education Research, Puducherry, India.

Department of Medical Oncology, Jawaharlal Institute of Postgraduate Medical Education Research, Puducherry, India.

出版信息

Indian J Nucl Med. 2025 May-Jun;40(3):183-184. doi: 10.4103/ijnm.ijnm_43_25. Epub 2025 Aug 7.

DOI:10.4103/ijnm.ijnm_43_25
PMID:40927151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12416601/
Abstract

We present a unique case of a heart-shaped lesion identified on Fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) imaging in a patient with metastatic adenocarcinoma of the left lung. The patient, initially diagnosed with a mass in the left upper lobe and a lytic lesion in the L3 vertebra, underwent chemoradiation therapy. Subsequent imaging revealed significant metabolic activity reduction in lung and vertebral lesions. This case emphasizes the occasional atypical and visually intriguing patterns encountered in PET/CT imaging.

摘要

我们报告了一例独特的病例，在一名左肺转移性腺癌患者的氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描（PET/CT）成像中发现了一个心形病变。该患者最初被诊断为左上叶肿块和L3椎体溶骨性病变，接受了放化疗。随后的影像学检查显示肺部和椎体病变的代谢活性显著降低。该病例强调了PET/CT成像中偶尔会遇到的非典型且视觉上引人关注的模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fc2/12416601/57c4cbe9ea58/IJNM-40-183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fc2/12416601/78714964a97e/IJNM-40-183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fc2/12416601/57c4cbe9ea58/IJNM-40-183-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fc2/12416601/78714964a97e/IJNM-40-183-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fc2/12416601/57c4cbe9ea58/IJNM-40-183-g002.jpg

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本文引用的文献

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The heart or a tumor? Lung cancer in the lower left thorax can mimic myocardial FDG uptake on PET imaging.是心脏还是肿瘤？左胸下部的肺癌在PET成像上可模拟心肌摄取氟代脱氧葡萄糖。
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