- 期刊
Nasopharyngeal Tuberculosis with Regional Lymphadenopathy Mimicking Thyroid Cancer with Cervical Lymph Node Metastasis Recognized by F-18 FDG PET/CT: A Case Report
氟-18去氧葡萄糖正子／電腦斷層造影辨認出與甲狀腺癌合併頸部淋巴結轉移相似之鼻咽部結核病及局部淋巴結病變
摘要
Nasopharyngeal tuberculosis demonstrated by Fluorine-18 fluorodeoxyglucose positron emission tomography and computed tomography (F-18 FDG PET/CT) has scarcely been reported. We report a patient with this disease initially manifested as having thyroid cancer with cervical lymph node metastasis, but had no cytologic evidence after twice tissue aspiration. F-18 FDG PET/CT showed abnormal hypermetabolism in the nasopharynx and led to correct diagnosis and effective treatment. F-18 FDG PET/CT may be a valuable modality to detect the primary lesions in patients presenting with unexplained regional lymphadenopathy.
並列摘要
鼻咽結核感染在[氟-18]氟化去氧葡萄糖正子／電腦斷層掃描下的影像發現在過去極少被報告。我們報告一位病人，在最初的臨床表現及影像特徵類似甲狀腺癌合併頸部淋巴結轉移，經兩次頸部淋巴結細針抽吸及細胞學檢查都無法證實為罹癌，[氟-18]氟化去氧葡萄糖正子斷層掃描揭示了鼻咽部有異常代謝活性升高，因而引導了最終的正確診斷及治療。當病人出現難以解釋的區域性淋巴病變時，[氟-18]氟化去氧葡萄糖正子斷層掃描或能做為一有價值之偵測工具。
延伸閱讀
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