- 期刊
An Atypical Hepatic Hemangioma Mimicking Liver Metastasis
一個肝血管瘤於正子斷層造影呈現氟化葡萄糖吸收增加
摘要
通常在氟18去氧葡萄糖正子全身掃描（F-18 FDG PET）時，肝臟良性腫瘤有正常或低於正常的葡萄糖新陳代謝，高葡萄糖新陳代謝的結果很罕見，但是仍然有可能發生。我們描述一位62歲男性大腸癌患者，電腦斷層（CT scan）發現肝臟有一個1.5公分的低密度病灶。FDG PET檢查同樣發現肝臟同樣大小的高FDG病灶。病灶經手術切除後病理診斷為血管瘤。
並列摘要
The glucose metabolism of benign liver tumors is usually normal or even decreased, and false positive F-18 FDGPET result is rare. We describe a 62-year-old male patient with a history of colon cancer pT4N2M1 stage IV status post surgery and chemotherapy. Under routine follow up, CT scan showed a 1.5cm fluffy-margined hypodense nodular lesion without evident contrast enhancement at liver segment 8. F-18 FDG PET/CT imaging showed a hypermetabolic hepatic lesion at the same site. The lesion was resected, and pathology revealed hemangioma.
延伸閱讀
- Chang, M. Z., & Lin, W. Y. (2006). 正子攝影中累積於中央靜脈導管之氟化去氧葡萄糖與淋巴結轉移相似. 核子醫學雜誌, 19(4), 259-263. https://doi.org/10.6332/ANMS.1904.006
- Ting, A. K. D., Chang, H., Tsao, T. C. Y., Chou, M. C., & Su, J. M. (2009). 肺內神經鞘瘤於正子／斷層掃描顯像上增加氟化脫氧葡萄糖之攝取：一病例報告. 胸腔醫學, 24(6), 320-324. https://doi.org/10.29806/TM.200912.0003
- Ko, Y. W., Lan, G. Y., Tsai, Y. J., & Hsu, C. H. (2015). 惡性間質細胞瘤在氟化去氧葡萄糖正子造影上的特徵. 核子醫學暨分子影像雜誌, 28(1), 25-30. https://doi.org/10.6332/ANMMI.2801.004
- Hou, C. H., Shen, D. H. Y., Lin, L. F., Gao, H. W., Hsu, Y. C., & Cheng, C. Y. (2014). 腫瘤性許奈德氏乳突瘤於正子斷層造影呈現雙相式之氟化葡萄糖吸收改變：病例報告. 核子醫學暨分子影像雜誌, 27(1), 52-57. https://doi.org/10.6332/ANMMI.2701.007
- 施懿珊、汪姍瑩、吳彥雯（2021）。氟化去氧葡萄糖正子斷層造影在動脈粥狀硬化的應用。核子醫學暨分子影像雜誌，34(3)，149-151。https://doi.org/10.6332/ANMMI.202109_34(3).0007