Pulmonary tuberculosis with false-positive (18)F-fluorodeoxyglucose positron emission tomography mimicking recurrent lung cancer: A case report.
Pulmonary tuberculosis with false-positive (18)F-fluorodeoxyglucose positron emission tomography mimicking recurrent lung cancer: A case report.
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DOI：
10.3892/etm.2014.2054
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发表时间：
2015-01
影响因子：
2.7
通讯作者：
Huang JA
中科院分区：
文献类型：
--
作者：
Chen C;Zhu YH;Qian HY;Huang JA
肺癌复发是一种常见的临床症状。18F-脱氧葡萄糖正电子发射断层扫描(FDG-PET)是目前用于检测肿瘤复发的主要无创成像技术。在本研究中，检查了一位67岁男性疑似有肺癌术后复发的病例。胸部计算机断层扫描发现胸膜下结节在短时间内生长，同时右肺出现多个斑片状阴影。PET-CT扫描显示手术部位FDG摄取增加，显示出恶性疾病的特征。然而，电视胸腔镜活检提供了结核病的诊断，并指导进一步的适当治疗。总而言之，所有疑似转移和复发的癌症患者都需要进一步评估。
Recurrent lung cancer is a common clinical condition. 18F-fluorodeoxyglucose positron emission tomography (FDG-PET) is currently the predominant non-invasive imaging technique used for the detection of tumor recurrence. In the present study, the case of a 67-year-old male suspected to have postoperative recurrence of primary lung cancer was examined. Chest computed tomography (CT) scans identified a subpleural nodule grown within a short time period, along with the occurrence of multiple patchy shadows on the right lung. PET-CT scans revealed an increased FDG uptake in the surgical site, which exhibited features of a malignant disease. However, a video-assisted thoracoscopic biopsy provided the diagnosis of tuberculosis and guided further appropriate treatment. In conclusion, further evaluation is required in all patients with suspected metastatic and recurrent carcinoma.
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