内科理论与实践2024，Vol.19Issue(6)：413-416,4.DOI:10.16138/j.1673-6087.2024.06.11
18F-FDG-PET/CT引导下确诊原发性骨骼肌外周T细胞淋巴瘤1例
A case of primary skeletal muscle peripheral T-cell lymphoma diagnosed by 18F-FDG-PET/CT
艾香艳 1刘杨 1程昉 1赵福涛1
作者信息
- 1. 上海交通大学医学院附属第九人民医院风湿免疫科,上海 200011
- 折叠
摘要
Abstract
Primary skeletal muscle lymphoma is rare,and primary skeletal muscle non-specified peripheral T-cell lymphoma(PTCL-NOS)is even rarer.It is prone to be misdiagnosed and missed as its lack of specificity of clinical manifestations.At present,its diagnosis primarily relies on 18F-FDG-PET/CT to screen hypermetabolic lesions and tissue biopsy to confirm it.This article reports a case of oropharyngeal ulcers accompanied by fever as the main clinical manifestations,while there were no atypical cells found in multiple biopsies of the ulcer sites.PET/CT showed heterogeneous hypermetabolism in the calf muscles of two legs and the pharynx.Finally,the patient diagnosis was confirmed as primary skeletal muscle PTCL-NOS through calf muscle biopsy,hematoxylin and eosin staining(HE)staining and immunohistochemistry.The diagnostic process of the case was challenging.It suggests that recognition of primary skeletal muscle PTCL-NOS needs to be improved to achieve early diagnosis and better prognosis.关键词
口咽部溃疡/外周T细胞淋巴瘤/18F-FDG-PET/CTKey words
Oropharyngeal ulcers/Primary peripheral T-cell lymphoma/18F-FDG-PET/CT分类
医药卫生引用本文复制引用
艾香艳,刘杨,程昉,赵福涛..18F-FDG-PET/CT引导下确诊原发性骨骼肌外周T细胞淋巴瘤1例[J].内科理论与实践,2024,19(6):413-416,4.
