상행대정맥 종양혈전을 동반한 재발성 간세포암 환자의 F-18 FDG PET/CT소견 (Detection of Superior Vena Cava Tumor Thrombus by F-18 FDG PET/CT in Recurrent Hepatocellular Carcinoma) |
Author |
최승진1,김철수2,변성수3,이경희3,현인영1, |
Seung Jin Choi, M.D.1, Chul Soo Kim, M.D.2, Sung Su Byun, M.D.3, Kyung Hee Lee, M.D.3, and In Young Hyun, M.D.1 |
Affiliation |
인하대학교 의과대학 핵의학교실1, 내과학교실2, 방사선과학교실3 Department of 1Nuclear Medicine, 2Internal Medicine, and 3Radiology, Inha University College of Medicine, Incheon,Korea |
Abstract |
We report the case of a 64-year-old man with superior vena cava (SVC) syndrome due to tumor thrombus from
recurrent hepatocellular carcinoma (HCC). He presented with new onset of facial swelling for 10 days. HCC was
detected ten years ago. He has undergone repeated transcatheter arterial embolization (TAE) and chemotherapy.
Chest computed tomography (CT) demonstrated tumor thrombus in the SVC extending to right atrium. He
underwent whole body F-18 fluorodeoxyglucose(FDG) positron emission tomography/computed tomography
(PET/CT) scanning for assessing the effect of TAE in HCC. F-18 FDG PET/CT showed increased uptake in the
residual liver mass indicating viable tumor. There was another intense F-18 FDG accumulation in SVC extending to
right atrium to suggest tumor thrombus. This case illustrates that F-18 FDG PET/CT is useful to identification of
distant metastases as well as assessment of response to therapy in long-term survival HCC patients. (Nucl Med
Mol Imaging 2006;40(5):271-274)
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Keyword |
superior vena cava syndrome, hepatocellular carcinoma, F-18 FDG PET/CT |
Full text Article |
4005271.pdf
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