Recurrent Cervical Lymph Node Metastases in a Patient with Parotid Carcinoma after Surgery and Radiotherapy Demonstrated on 18F-Fuorodeoxyglucose Positron Emission Tomography

一位腮腺癌病人治療後發生復發性淋巴轉移在氟—18—去氧葡萄糖正子攝影上的表現

馬士雅(Shih-Ya Ma) ； 張祐銓(Yu-Chen Chang) ； 曾凱元(Kai-Yuan Tzen) ； 閻紫宸(Tzu-Chen Yen)

《核子醫學雜誌》 15卷1期 (2002/03) Pp. 49-52

https://doi.org/10.6332/ANMS.1501.008

摘要

一位腮腺癌伴隨頸部淋巴轉移的男性病患，經由手術與放射線治療後，腫瘤消失。為了追蹤腫瘤治療的情況，病人進一步接受氟-18-去氧葡萄糖正子攝影，發現在右側部淋巴的位置有高度代謝性的病灶，並且認為是復發的惡性病灶。然而，同時間斷層掃描檢查並沒有在相同位置發現任何病灶。最後病理檢查確定是右側頭部淋巴的復發性惡性鱗狀上皮細胞癌。本病例顯示了氟-18-去氧葡萄糖正子攝影在早期治療的復發性淋巴轉移上的高度價值。

關鍵字

腮腺癌 ； 復發性淋巴轉移 ； 氟—18—去氧葡萄糖正子攝影

並列摘要

We reported a 72-year-old male patient of malignant
parotid squamous cell carcinoma (SCC) with right cervical
lymph node metastases. The tumor and metastatic lymph nodes were not found after parotidectomy and radiotherapy (RT). For survey of recurrent cancer, 18Ffluorodeoxyglucose positron emission tomography (FDG PET) was performed twice and showed one
hypermetabolic lesion in the right middle cervical region, which was not detected by computed tomography(CT), and the other two in the left posterior auricle and deep lower cervical regions. The final pathology confirmed recurrent metastatic SCC of the right cervical lymph nodes. In this case, the value of FDG-PET for earlier detection of recurrent lymph node metastases
after RT was demonstrated.

並列關鍵字

parotid carcinoma ； recurrent lymph node metastasis ； FDG-PET