- 期刊
Fluorine-18-FDG-PET Demonstrating Malignant Pleural Effusion from Esophageal Carcinoma
氟－18去氧葡萄糖正子造影顯現食道癌合併惡性水胸
摘要
惡性水胸常見合併於原發性肺癌之病患，但鮮少發生於食道癌患者。我們報告一位持續五個多月苦於漸進性吞嚥困難及打咯的病患，其電腦斷層檢查發現有左側水胸，且氟－18去氧葡萄糖正子造影檢查也發現食道末端及左後胸有異常葡萄糖代謝增加；於是施行了左胸部胸水採樣，細胞病理學檢查發現惡性細胞，證實為食道癌合併惡性水胸。此外，我們討論正子造影在臨床上診斷食道癌的角色。
並列摘要
Malignant pleural effusion is the most common complicated by primary pulmonary carcinoma, but is seldom in patients with esophageal carcinoma. We present a patient with a 5-6 month history of gradual dysphagia of solid foods and gurgling with liquids whose computed tomography (CT) images of the chest showed left pleural effusion. 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) imaging revealed increased FDG uptake in the distal end of esophagus and in the posterior left chest wall. An aspiration of the left-side pleural effusion was done; cytologic examination of the aspirated effusion was positive for malignancy, consistent with adenocarcinoma of esophagus. The clinical roles of PET imaging in patients with malignant pleural effusion are discussed.
延伸閱讀
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