- 期刊
Intradural Spinal Schwannoma Showing Focal FDG Hpermetabolism in Spinal Canal in a Breast Cancer Patient
硬腦膜內脊椎許旺細胞瘤在乳癌病人造成椎管內葡萄糖吸收增加亮點
摘要
A 46-year-old female breast cancer patient received FDG PET/CT scan for preoperative survey. In addition to the hypermetabolism in the known left breast cancerous lesion, there was also a moderate hypermetabolic spot in the T3-level spinal canal. She denied neither upper back pain nor any neurological deficits. Following MRI showed a 2cm intradural extramedullary homogenous enhancing nodule in T3-level spinal canal, deviating thoracic cord to the right. She received laminectomy for surgical removal and tissue proof of the spinal canal lesion, with pathology reveling schwannoma.
並列摘要
一位46歲女性乳癌患者接受術前的氟-18去氧葡萄糖正子電腦斷層造影（F-18 FDG PET/CT）。除了在已知的左乳癌發現葡萄糖吸收增加病灶外，還在第三節胸椎高度的脊管內發現個中等程度的葡萄糖吸收增加亮點。病患否認有上背痛或神經功能障礙。核磁共振在第三節胸椎高度的脊管發現一個顯影良好的硬腦膜內脊髓外結節，將胸髓擠到右側。為了手術切除及病理確定此脊管內病灶，病患至其他醫院接受椎板切除手術，最後病理報告為許旺細胞瘤。
延伸閱讀
- Chen, Y. H., Hwang, W. S., Chen, C. H., Taso, C. J., Huang, W. T., Lin, M. H., Feng, Y. H., Lin, C. L., Lin, C. Y., Chen, S. W., & Chen, S. H. (2009). 乳癌腦脊椎膜轉移個案脊髓腔內注射Trastuzumab報告. 中華民國癌症醫學會雜誌, 25(5), 357-364. https://doi.org/10.6588/JCOS.2009.25.5.6
- Yang, L. H., Cheng, C. Y., Kuo, S. J., Huang, W. S., Wong, W. S., Hung, G. U., & Lee, K. W. (2014). 乳癌單一胸骨轉移疑似生理性胸骨軟骨聯合攝取. 核子醫學暨分子影像雜誌, 27(2), 137-142. https://doi.org/10.6332/ANMMI.2702.007
- Tsai, Y. J., Tsai, Y. J., Chuan, M. T., & Hu, S. L. (2004). 轉移子宮頸癌病人合併牛胃掌、黑棘皮症及密集性皮膚乳突瘤. 中華皮膚科醫學雜誌, 22(2), 142-147. https://doi.org/10.29784/DS.200406.0005
- 黎乃良、許哲彰、彭文玲、鄭鴻鈞、陳啟明、孫維仁（2014）。減少氣管插管、降低術後不適的乳癌手術麻醉新境界－脊側神經阻斷術。臺灣醫界，57(3)，8-12。https://www.airitilibrary.com/Article/Detail?DocID=17263603-201403-201404220024-201404220024-8-12
- Tsao, T. Y., Tseng, H. H., Shih, C. M., Nieh, S., & Tu, Y. C. (1991). 惡性神經髓鞘瘤合併橫紋肌胚瘤分化（惡性蠑螈瘤）：病例報告及文獻覆閱. Journal of Medical Sciences, 11(5), 389-399. https://www.airitilibrary.com/Article/Detail?DocID=10114564-199110-201307260006-201307260006-389-399