免疫化疗后单侧肾上腺结节性增生在18F-FDG PET/CT上模拟子宫内膜癌转移

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

Clinical Nuclear Medicine Pub Date : 2025-10-01 Epub Date: 2025-05-20 DOI:10.1097/RLU.0000000000005892

Hui Li, Le Song, Meng Wang, Kai Yang, Yan Wan

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引用次数: 0

摘要

免疫化疗后单侧肾上腺结节性增生极为罕见。我们报道了一位患有子宫内膜癌的70岁妇女，她接受了18F-FDG PET/CT来评估免疫化疗的反应。与基线相比，随访PET/CT显示左侧肾上腺新发高代谢结节，最初怀疑转移。但经手术切除及病理证实为肾上腺增生。本病例强调了将单侧肾上腺结节性增生视为免疫化疗后类似转移的罕见影像学发现的重要性，应在鉴别诊断中予以考虑。

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Unilateral Nodular Adrenal Hyperplasia Mimicking Endometrial Cancer Metastasis on 18 F-FDG PET/CT After Immunochemotherapy.

Unilateral nodular adrenal hyperplasia after immunochemotherapy is extremely rare. We reported a 70-year-old woman with endometrial cancer who underwent 18 F-FDG PET/CT to evaluate the immunochemotherapy response. Compared with the baseline, follow-up PET/CT revealed a newly hypermetabolic nodule in the left adrenal gland, initially suspected to be metastatic. However, surgical resection and pathology confirmed it as adrenal hyperplasia. This case highlights the importance of recognizing unilateral nodular adrenal hyperplasia as a rare imaging finding mimicking metastasis following immunochemotherapy, which should be considered in the differential diagnosis.

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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.