증례 : 진행성 간암 환자에서 편도 전이에 FDG 섭취증가를 보인 예 (A Case of Metastatic Tonsillar Lesion Showing Increased FDG Uptake in the Patient with Advanced Hepatocellular Carcinoma) |
Author |
박정미1, 김희경2, 김상균3, 김영석3, |
Jung Mi Park, M.D.1, Hee Kyung Kim, M.D.2, Sang Gyune Kim, M.D.3, and Young Seok Kim, M.D.3 |
Affiliation |
순천향대학교 부천병원 핵의학과1, 병리과2, 내과3 Departments of 1nuclear medicine, 2pathology, 3internal medicine, Bucheon Hospital Soonchunhyang University College of Medicine, Bucheon, Korea |
Abstract |
A 65 year-old man with hepatocellulcar carcinoma (HCC) admitted to treat left lower leg swelling and pus discharge suspecting osteomyelitis. MRI of his lower leg revealed the bone metastasis. Whole body FDG PET/CT additionally detected left shoulder and right ilium metastasis. Hematemesis suddenly developed in this patient after 3 weeks. Metastasis of right tonsil was histologically proven. When we reviewed his FDG PET/CT, there was asymmetric mild hypermetabolism in the right tonsil. When focal hypermetabolism is shown in the organ physiologically taking glucose up such as tonsil, we should cautiously assess whole body PET/CT in the examination of distant metastasis. We present a patient with multiple distant metastasis including tonsil from HCC showing increased FDG uptake with the literature review. (Nucl Med Mol Imaging 2008;42(1):70-73)
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Keyword |
FDG PET/CT, hepatocellular carcinoma, tonsillar metastasis |
Full text Article |
4201070073.pdf
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