Syphilitic Lymphadenitis and Clavicle Pathological Fracture Mimicking Malignant Tumor on 18 F-FDG PET/CT.

IF 9.6 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical Nuclear Medicine Pub Date : 2025-06-01 Epub Date: 2024-12-30 DOI:10.1097/RLU.0000000000005638

Hongzheng Zhang, Youwen Dong, Sheng Dai

引用次数: 0

Abstract

Abstract: A 66-year-old woman presented with 9 days of left clavicle pain, with no history of recent trauma. CT images showed a left clavicle fracture with a surrounding soft tissue mass. An 18 F-FDG PET/CT scan revealed increased FDG uptake in the tonsils, multiple lymph nodes, and the pathologically fractured clavicle, initially suggesting malignancy. However, serologic tests and pathology confirmed syphilitic lymphadenitis and osteomyelitis. Given the inguinal and cervical lymphadenopathy with FDG uptake, potential bone destruction, or pathological fractures mimicking malignancy, syphilis should be considered in the differential diagnosis. Serologic testing and Treponema pallidum screening are essential.

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18F-FDG PET/CT模拟恶性肿瘤的梅毒性淋巴结炎和锁骨病理性骨折。

摘要：66岁女性，左锁骨疼痛9天，近期无外伤史。CT图像显示左侧锁骨骨折，周围有软组织肿块。18F-FDG PET/CT扫描显示扁桃体、多个淋巴结和病理性骨折锁骨中FDG摄取增加，初步提示恶性肿瘤。然而，血清学检查和病理学证实了梅毒淋巴结炎和骨髓炎。鉴于腹股沟和颈部淋巴结病变伴FDG摄取，潜在的骨破坏，或病理性骨折模仿恶性肿瘤，在鉴别诊断时应考虑梅毒。血清学检测和梅毒螺旋体筛查是必不可少的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Nuclear Medicine 医学-核医学

CiteScore

2.90

自引率

31.10%

发文量

1113

审稿时长

2 months

期刊介绍： Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.