查詢結果分析
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頁籤選單縮合
題名 | Urinary Bladder Carcinoma Metastasized to Skeletal Muscle Detected by F-18 FDG PET/CT=由氟-18正子電腦斷層偵測膀胱癌之肌肉轉移 |
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作者 | 許沛瑩; 孫家棟; 游治維; 曾凱元; 吳彥雯; Hsu, Pei-ying; Shun, Chia-tung; Yu, Chih-wei; Tzen, Kai-yuan; Wu, Yen-wen; |
期刊 | Annals of Nuclear Medicine and Molecular Imaging |
出版日期 | 20140600 |
卷期 | 27:2 2014.06[民103.06] |
頁次 | 頁146-150 |
語文 | eng |
關鍵詞 | 膀胱癌; 氟-18去氧葡萄糖正子電腦斷層; 肌肉轉移; Bladder cancer; FDG PET/CT; Skeletal muscle metastases; |
中文摘要 | 一位54歲男性已知罹患膀胱癌及攝護腺癌,出現左大腿腫痛及發燒症狀。根據臨床表現及影像學檢查雖懷疑局部發炎,因久治不癒,進一步切片卻證實為膀胱癌轉移。此時氟-18去氧葡萄糖正子電腦斷層更發現在左腰肌還有攝取異常增加的病灶。癌症出現骨骼肌轉移相當罕見,特別是在尚未出現廣泛轉移時,是診斷上一大挑戰。如果腫瘤病患出現肌肉疼痛、對抗生素治療無效的時候,須將之列入鑑別診斷。本案例也顯示氟-18去氧葡萄糖正子電腦斷層對於偵測潛在轉移病灶及監測療效的價值。 |
英文摘要 | A 54-year-old man of bladder and prostate cancers complained of painful left thigh swelling and fever. Although the clinical presentation and imaging studies suggested infectious process, biopsy confirmed metastatic bladder cancer. F-18 FDG PET/CT scan demonstrated additional hypermetabolic focus at left psoas muscle. Skeletal muscle metastasis is rare and remains a diagnostic challenge, particularly in the absence of widespread metastasis. However, it should be included in the differential diagnosis for oncologic patients presenting with muscular pain refractory to antibiotics. It also highlighted the value of F-18 FDG PET/CT scan to detect occult metastatic foci and to monitor treatment response. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。