대한핵의학회지 (1967년~2009년)
Nucl Med Mol Imaging 2008;42(3)253~255
흥미영상 : PET/CT에서 간전이로 오인되었던 호산구성 간농양의 F-18 FDG 섭취 증가
(F-18 FDG Uptake in an Eosinophilic Liver Abscess Mimicking Hepatic Metastasis on PET/CT Images)
Author 손명희, 정환정, 임석태, 김동욱, 임창열1,
Myung-Hee Sohn, M.D., Hwan-Jeong Jeong, M.D., Seok Tae Lim, M.D., Dong Wook Kim, Ph.D.,
Affiliation 전북대학교 의과대학 핵의학교실, 내과학교실1, 임상의학연구소
Departments of Nuclear Medicine and Internal Medicine1, Research Institute of Clinical Medicine, Chonbuk National University Medical School, Jeonju, Jeonbuk, Korea.
Abstract

A 61-year-old man had a F-18 FDG PET/CT scan for evaluation of a common bile duct cancer identified on CT. The PET/CT image showed a hypermetabolic mass in the common bile duct, and a focal area of increased F-18 FDG uptake in segment IV of the liver, which corresponded to a hypoattenuated lesion on non-enhanced CT, and was consistent with hepatic metastasis. The patient underwent choledochojejunostomy with hepatic resection, and pathologic findings were compatible with an eosinophilic abscess in the liver. This case demonstrates that F-18 FDG uptake by an eosinophilic abscess can mimic hepatic metastasis in a patient with a malignancy.

Keyword liver, eosinophilic abscess, metastasis, F-18 FDG, PET/CT
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