18F-FDG-PET检测子宫壁内绒毛膜癌

Jörg Dose MD , Karl-Heinz Bohuslavizki , Bernd Hüneke , Christoph Lindner , Fritz Jänicke
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引用次数: 14

摘要

我们报告一例37岁女性,4年来β-人绒毛膜促性腺激素(HCG)水平升高。刮除5次,诊断性腹腔镜检查2次,未见滋养细胞组织。阴道超声和功率多普勒超声显示子宫前壁实体瘤,血管化程度高。18f -2-脱氧-d -葡萄糖正电子发射断层扫描(FDG- pet)显示子宫投影中FDG摄取的单一焦点。超声检查,子宫肿瘤表现为平滑肌瘤。因此局灶性FDG摄取是恶性滋养细胞瘤的唯一指标。肿瘤的组织学检查显示为绒毛膜癌。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Detection of Intramural Choriocarcinoma of the Uterus with 18F-FDG-PET

We are reporting the case of a 37-year-old woman with rising β-human chorionic gonadotropin (HCG) levels over 4 years. Curettage was performed 5 times and diagnostic laparoscopy twice, but no trophoblastic tissue was found. Vaginal ultrasound and power Doppler sonography showed a solid tumor of the anterior uterus wall with high vascularization. 18F-2-deoxy-D-glucose-positron emission tomography (FDG-PET) revealed a single focus of FDG uptake in projection of the uterus. Sonographically, the tumor of the uterus appeared like a leiomyoma. Thus focal FDG uptake was the sole indicator for a malignant trophoblastic tumor. Histological examination of the tumor revealed a choriocarcinoma.

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