原因不明性阻塞性細支氣管炎合併器質化肺炎(idiopathic bronchiolitis obliterans organizing pneumonia)是罕見的病理診斷疾病,其發生原因未知。我們報告一位病例,其氟-18-FDG正子電腦斷層造影(18F-fluorodcoxyglucose positron emission tomography),不論採信標準化攝取值(standardized uptake value)之閾值或比較兩個不同時間點之變化,病灶俱呈現偽陽性而判斷為肺部惡性腫瘤。認知此一誤判之可能性對臨床醫療深具價值。
Idiopathic bronchiolitis obliterans organizing pneumonia (idiopathic BOOP) is a rare clinicopathological entity with insidious causes. Cases with associated PET studies have been scarcely reported in the literature. We report a case of idiopathic BOOP whose 18F-FDG PET imaging is misleadingly false-positive for malignancy by definition of SUV even with comparing dual time point studies. Knowledgement of such possibility is valuable in the clinical patient management.