篇名 | Simultaneous Oropharynx Cancer and Esophageal Cancer Causing Aspiration Pneumonia: 18F-FDG PET/CT Scan Findings |
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卷期 | 20:4 |
並列篇名 | 同步發生喉癌與食道癌導致吸入性肺炎患:氟-18-去氧葡萄糖正子電腦斷層造影發現 |
作者 | 謝坤益 、 蘇旺裕 、 余忠泰 、 周育祥 、 高潘福 |
頁次 | 223-227 |
關鍵字 | 18F-fluorodeoxyglucose 、 Cancer staging 、 Aspiration pneumonia 、 Simultaneous cancer 、 氟-18-去氧葡萄糖 、 癌症分期 、 吸入性肺炎 、 同步發生的癌症 |
出刊日期 | 200712 |
一位54歲男性喉癌患者被安排接受氟-18-去氧葡萄糖正子電腦斷層造影以做爲手術前分期評估。正子電腦斷層造影除了喉癌病灶外,在造影中還發現了同步發生的食道癌和吸入性肺炎。食道病灶病理切片顯示爲鱗狀上皮癌。這些重要的造影發現,改變了後續的癌症治療方針。文獻回顧全身正子斷層造影意外發現同步發生癌和吸入性肺炎。
A 54-year-old male oropharynx cancer patient received a whole body 18F-fluorodeoxyglucose (FDG) integrated positron emission tomography/computed tomography (PET/CT) scan for pre-operative cancer staging. In addition to the oropharynx lesion, another esophageal focal lesion and right lower lung diffuse lesion were demonstrated in the FDG PET/CT scan. The esophageal lesion biopsy revealed squamous cell carcinoma. Review clinical history, the patient had a nasogastric tube insertion for nutrition supplement due to oropharynx ulceration pain and dysphagia. Aspiration pneumonia, as the consequence of dysphagia, was incidental demonstrated by PET/CT scan. The FDG PET/CT scan in identifying double cancers and the aspiration pneumonia were reviewed.