Unilateral Reduction of 18F-FDG Accumulation in Brown Adipose Tissue by Sympathectomy for Hyperhidrosis
Unilateral Reduction of 18F-FDG Accumulation in Brown Adipose Tissue by Sympathectomy for Hyperhidrosis
复制标题
通过交感神经切除术治疗多汗症单方面减少棕色脂肪组织中 18F-FDG 的积累
DOI：
10.1097/rlu.0000000000004393
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发表时间：
2022
影响因子：
10.6
通讯作者：
Nakamoto Yuji
中科院分区：
文献类型：
--
作者：
Shirakawa Chigusa;Koyasu Sho;Takada Masahiro;Toi Masakazu;Nakamoto Yuji
一位30岁的女性左侧乳腺癌患者接受了18F-FDG PET/CT分期。在原发灶以及颈部左侧至锁骨上窝和左侧椎旁区域可观察到强烈的FDG摄取。病史记录显示，她因多汗症接受了右胸交感神经切除术，导致右侧棕色脂肪组织(BAT)摄取FDG减弱。另一次检查保持足够的温度，减少了BAT的蓄积，并诊断为cT1N1M0。单侧交感神经阻断可导致FDG在BAT内不对称积聚，从而干扰肿瘤的解释。
A 30-year-old woman with left breast cancer underwent 18 F-FDG PET/CT for staging. Intense FDG uptake was observed in the primary lesion, as well as on the left side of the neck to the supraclavicular fossa and left paravertebral region. History taking revealed that she had undergone a right thoracic sympathectomy for hyperhidrosis, which resulted in attenuated FDG uptake in the right-sided brown adipose tissue (BAT). With another examination keeping adequate warming, the accumulation of BAT was reduced and a diagnosis of cT1N1M0 was made. Unilateral sympathetic blockade can cause asymmetric FDG accumulation in BAT, which interferes with interpretation in tumors.