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18F-FDG PET/CT诊断肺动脉平滑肌肉瘤伴肺转移1例

詹华英 李伟龙 刘志翔

国际医学放射学杂志2024,Vol.47Issue(3):367-370,4.
国际医学放射学杂志2024,Vol.47Issue(3):367-370,4.DOI:10.19300/j.2024.L21083

18F-FDG PET/CT诊断肺动脉平滑肌肉瘤伴肺转移1例

Primary pulmonary artery leiomyosarcoma on 18F-FDG PET/CT imaging:a case report

詹华英 1李伟龙 2刘志翔3

作者信息

  • 1. 潍坊医学院,潍坊 261000
  • 2. 青岛大学附属烟台毓璜顶医院核医学科
  • 3. 潍坊医学院附属医院核医学科
  • 折叠

摘要

Abstract

Objective To explore the imaging features of primary pulmonary artery leiomyosarcoma(PPAL)for a better understanding of this tumor.Methods We retrospectively analyzed the imaging manifestations and pathology results of a case of PPAL,and reviewed the relevant literature.Results Echocardiography showed a hypoechoic mass in the right ventricular outflow tract and pulmonary artery.Enhanced CT revealed an irregular mixed density mass in the right ventricular outflow tract,main pulmonary artery,proximal right pulmonary artery,and surrounding areas with mild heterogeneous enhancement.Additionally,multiple soft tissue density nodules were found in bilateral lungs.Positron emission tomography/computed tomography(PET/CT)demonstrated that the lesions in the pulmonary artery and right lung nodule exhibited extraordinarily elevated glucose metabolism.Intrapulmonary metastases from PPAL were considered based on biopsy of right lung nodule.Conclusion The imaging characteristics of PPAL are distinctive.PET/CT can guide the selection of puncture site.

关键词

原发性肺动脉平滑肌肉瘤/体层摄影术,X线计算机/正电子发射体层成像

Key words

Primary pulmonary artery leiomyosarcomas/Tomography,X-ray computed/Positron emission tomography

分类

医药卫生

引用本文复制引用

詹华英,李伟龙,刘志翔..18F-FDG PET/CT诊断肺动脉平滑肌肉瘤伴肺转移1例[J].国际医学放射学杂志,2024,47(3):367-370,4.

国际医学放射学杂志

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