18F-FDG PET/CT显示无柄锯齿状腺瘤合并脂质性肺炎模拟结肠癌伴肺转移灶。

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

Clinical Nuclear Medicine Pub Date : 2025-09-01 Epub Date: 2025-06-06 DOI:10.1097/RLU.0000000000005744

Paulo Schiavom Duarte, Rafael Dyer Rodrigues de Moraes, Euclides Antônio da Costa, Marcelo Tatit Sapienza, Carlos Alberto Buchpiguel

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引用次数: 0

摘要

65岁男性，有慢性咳嗽史，计算机断层扫描发现双侧肺肿块。一项18F-FDG PET/CT研究显示，在肺肿块中有中度摄取，在近端横结肠病变中异常强烈摄取。虽然最初的解释提示结肠癌转移性肺疾病，但随后结肠镜切除结肠病变和肺病变活检分别显示为无柄锯齿状腺瘤和脂质性肺炎。患者有使用矿物油治疗便秘的病史。

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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Sessile Serrated Adenoma Plus Lipoid Pneumonia Mimicking a Colon Cancer With Pulmonary Metastatic Lesions on 18 F-FDG PET/CT.

A 65-year-old man with a history of chronic cough presented with bilateral pulmonary masses identified on computed tomography. A 18 F-FDG PET/CT study demonstrated moderate uptake in the lung masses and unexpectedly intense uptake in a proximal transverse colonic lesion. While the initial interpretation suggested metastatic lung disease from colon cancer, subsequent colonoscopic resection of the colon lesion and biopsy of the lung lesions revealed a sessile serrated adenoma and lipoid pneumonia, respectively. The patient disclosed a history of mineral oil use for constipation.

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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.