Hunter G J, Choi N C, McLoud T C, Fischman A J
Dept. of Radiology, Massachusetts General Hospital, Boston 02129.
J Nucl Med. 1993 Sep;34(9):1571-3.
We report a case of breast metastasis from a large-cell bronchogenic adenocarcinoma. Serial 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) was used to monitor the response of the primary lesion to radiation therapy. In the 7-wk interval between studies, an area of markedly increased FDG uptake appeared in the right breast. On subsequent biopsy this proved to be a metastatic deposit from the primary lesion. breast metastasis is uncommon. The ability of FDG-PET to detect metastatic lesions from primary lung tumor is variable. In this case, the finding of the new breast lesion resulted in introduction of chemotherapy to the treatment program.
我们报告一例大细胞支气管源性腺癌发生乳腺转移的病例。采用连续的18F-氟脱氧葡萄糖(FDG)正电子发射断层扫描(PET)来监测原发灶对放射治疗的反应。在两次检查的7周间隔期内,右乳出现一处FDG摄取明显增加的区域。后续活检证实这是原发灶的转移灶。乳腺转移并不常见。FDG-PET检测原发性肺肿瘤转移灶的能力存在差异。在本病例中,新发现的乳腺病灶促使在治疗方案中引入了化疗。