{"title":"用^(18)F-FDG PET/CT评估罕见的蝶窦神经内分泌恶性肿瘤","authors":"Shang-Yi Li, Kwo-whei Lee, Chih-Jung Chen, Liang-Yuan Wong, Wenlin Huang, Mu-Kuan Chen","doi":"10.6501/CJM.1203.005","DOIUrl":null,"url":null,"abstract":"We describe herein a rare case o f malignant neuroendocrine tumor (NET) of the sphenoid sinus without knowing its nature and aggressiveness, which causes a therapeutic dilemma. Positron emission tomography with 2-[^(18)F]fluoro-2-Deoxy-D-glucose integrated with computed tomography (^(18)F-FDG PET/CT) was performed to assist therapeutic planning. A high FDG uptake was noted at the primary site without skull base involvement or distal metastasis. The patient therefore received surgical tumor removal plus concurrent chemoradiotherapy and remained stable 24 months after treatment. ^(18)F-FDG PET might provide a useful clue for managing patients with NET of the sphenoid sinus.","PeriodicalId":404480,"journal":{"name":"The Changhua Journal of Medicine","volume":"12 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Assessing a Rare Sphenoid Sinus Neuroendocrine Malignancy with ^(18)F-FDG PET/CT\",\"authors\":\"Shang-Yi Li, Kwo-whei Lee, Chih-Jung Chen, Liang-Yuan Wong, Wenlin Huang, Mu-Kuan Chen\",\"doi\":\"10.6501/CJM.1203.005\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"We describe herein a rare case o f malignant neuroendocrine tumor (NET) of the sphenoid sinus without knowing its nature and aggressiveness, which causes a therapeutic dilemma. Positron emission tomography with 2-[^(18)F]fluoro-2-Deoxy-D-glucose integrated with computed tomography (^(18)F-FDG PET/CT) was performed to assist therapeutic planning. A high FDG uptake was noted at the primary site without skull base involvement or distal metastasis. The patient therefore received surgical tumor removal plus concurrent chemoradiotherapy and remained stable 24 months after treatment. ^(18)F-FDG PET might provide a useful clue for managing patients with NET of the sphenoid sinus.\",\"PeriodicalId\":404480,\"journal\":{\"name\":\"The Changhua Journal of Medicine\",\"volume\":\"12 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2014-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Changhua Journal of Medicine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.6501/CJM.1203.005\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Changhua Journal of Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6501/CJM.1203.005","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
我们在此描述一例罕见的蝶窦恶性神经内分泌肿瘤(NET)，但不知道其性质和侵袭性，这导致了治疗困境。采用2-[^(18)F]氟-2-脱氧- d -葡萄糖正电子发射断层扫描结合计算机断层扫描(^(18)F- fdg PET/CT)辅助治疗计划。原发部位无颅底受累或远端转移，FDG摄取高。因此，患者接受手术切除肿瘤并同时进行放化疗，治疗后24个月病情稳定。^(18)F-FDG PET可能为蝶窦NET患者的治疗提供有用的线索。
Assessing a Rare Sphenoid Sinus Neuroendocrine Malignancy with ^(18)F-FDG PET/CT
We describe herein a rare case o f malignant neuroendocrine tumor (NET) of the sphenoid sinus without knowing its nature and aggressiveness, which causes a therapeutic dilemma. Positron emission tomography with 2-[^(18)F]fluoro-2-Deoxy-D-glucose integrated with computed tomography (^(18)F-FDG PET/CT) was performed to assist therapeutic planning. A high FDG uptake was noted at the primary site without skull base involvement or distal metastasis. The patient therefore received surgical tumor removal plus concurrent chemoradiotherapy and remained stable 24 months after treatment. ^(18)F-FDG PET might provide a useful clue for managing patients with NET of the sphenoid sinus.
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