AME国际病例

AME国际病例096 | 恶性腹膜间皮瘤一例:揭示PET-CT诊断胸腔转移灶的局限性

Published at: 2014年第1卷第36期

Takeshi Saraya 1 , Takuma Yokoyama 1 , Haruyuki Ishii 1 , Yasutaka Tanaka 1 , Naoki Tsujimoto 1 , Yukari Ogawa 1 , Erei Sohara 1 , Akira Nakajima 1 , Toshiya Inui 1 , Hiraoka Sayuki 2 , Masachika Fujiwara 3 , Teruaki Oka 4 , Riken Kawachi 5 , Tomoyuki Goya 5 , Hajime Takizawa 1 , Hajime Goto 1
1 Departments of Respiratory Medicine, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka City, Tokyo, Japan
2 Radiology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka City, Tokyo, Japan
3 Pathology, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka City, Tokyo, Japan
4 Division of Pathology and Central Clinical Laboratory, Kanto Central Hospital of the Mutual Aid Association of Public School Teachers, Japan
5 Departments of General Thoracic Surgery, Kyorin University School of Medicine, 6-20-2 Shinkawa, Mitaka City, Tokyo, Japan

摘要

患者,男性,47岁,因干咳、腹胀2月,伴体重减轻2 kg入住我院。正电子发射显像(positron emission tomography computed tomography,PET)-CT显示纵隔前、膈下淋巴结,腹膜腔内尤大网膜淋巴结标准摄取值(standard uptake values,SUVs)增高,而胸腔SUVs未见异常。经开胸肺活检,确诊为恶性腹膜间皮瘤(malignant peritoneal mesothelioma,MPM),上皮样型,伴胸腔转移。当前病例提示:PET-CT对诊断恶性间皮瘤的胸膜侵袭存在一定局限性。

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