FDG PET/CT in Pancreatic Ductal Adenocarcinoma Arising From a Heterotopic Pancreas of the Pylorus

被引：0
作者：
Ji, Xia [1 ,4 ]
Dong, Aisheng [2 ]
Wang, Yang [3 ]
机构：
[1] Jiaxing Univ, Affiliated Hosp 2, Dept Gastroenterol, Jiaxing, Zhejiang, Peoples R China
[2] Naval Med Univ, Changhai Hosp, Dept Nucl Med, Shanghai, Peoples R China
[3] Tongji Univ, Shanghai Peoples Hosp 4, Sch Med, Dept Pathol, Shanghai, Peoples R China
[4] Jiaxing Univ, Affiliated Hosp 2, Dept Gastroenterol, 1518 North Huancheng Rd, Jiaxing 314000, Zhejiang, Peoples R China
来源：
CLINICAL NUCLEAR MEDICINE | 2024年 / 49卷 / 01期
关键词：
heterotopic pancreas; ectopic pancreas; adenocarcinoma; stomach; PET/CT; CARCINOMA;
D O I：
10.1097/RLU.0000000000004952
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Malignant transformation of heterotopic pancreas is extremely rare. We describe FDG PET/CT findings in a case of pancreatic ductal adenocarcinoma arising from a heterotopic pancreas in the submucosa of the pylorus with peripyloric lymph node metastasis and elevated serum carbohydrate antigen 19-9 level. The heterotopic pancreatic adenocarcinoma showed intense FDG uptake, and the peripyloric lymph node metastasis showed mild FDG uptake. This case indicates that heterotopic pancreatic adenocarcinoma should be included in the differential diagnosis of FDG-avid gastric submucosal lesions, especially in patients with elevated serum carbohydrate antigen 19-9 level.
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收藏
页码：E42 / E44
页数：3
相关论文
共 19 条
[1]   Inflammatory Fibroid Polyp of the Stomach Mimics Malignancy on 18F FDG PET/CT Imaging [J].
Bilgin, Sabriye Sennur ;
Bilgin, Mehmet ;
Savas, Recep ;
Erdogan, Ezgi Basak .
CLINICAL NUCLEAR MEDICINE, 2016, 41 (09) :712-713
[2]   Malignant Transformation of Ectopic Pancreas [J].
Cazacu, Irina M. ;
Chavez, Adriana Alexandra Luzuriaga ;
Gonzalez, Graciela M. Nogueras ;
Saftoiu, Adrian ;
Bhutani, Manoop S. .
DIGESTIVE DISEASES AND SCIENCES, 2019, 64 (03) :655-668
[3]   When should we recommend use of dual time-point and delayed time-point imaging techniques in FDG PET? [J].
Cheng, Gang ;
Torigian, Drew A. ;
Zhuang, Hongming ;
Alavi, Abass .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2013, 40 (05) :779-787
[4]   Heterotopic Pancreas Mimicking Metastases From Renal Carcinoma A Rare Differential [J].
Datta, Deepanksha ;
Kumar, Rajesh ;
Varshney, Peeyush ;
Khera, Sudeep ;
Gupta, Tanisha .
CLINICAL NUCLEAR MEDICINE, 2023, 48 (02) :E74-E75
[5]  
Dong AS, 2013, CLIN NUCL MED, V38, pE438, DOI 10.1097/RLU.0b013e3182816299
[6]   Effectiveness of an Endoscopic Biopsy Procedure Using EUS-FNA and EMR-C for Diagnosing Adenocarcinoma Arising from Ectopic Pancreas: Two Case Reports and a Literature Review [J].
Endo, Shinji ;
Saito, Rie ;
Ochi, Daisuke ;
Yamada, Takeshi ;
Hirose, Mitsuaki ;
Hiroshima, Yoshinori ;
Yamamoto, Yoshiyuki ;
Ueno, Takunori ;
Hasegawa, Naoyuki ;
Moriwaki, Toshikazu ;
Narasaka, Toshiaki ;
Kaneko, Tsuyoshi ;
Fukuda, Kuniaki ;
Suzuki, Hideo ;
Mizokami, Yuji ;
Hyodo, Ichinosuke .
INTERNAL MEDICINE, 2014, 53 (10) :1055-1062
[7]   Value of 18F-FDG PET/CT for differentiating diagnosis between malignant and benign primary gastric gastrointestinal mesenchymal tumors: a single-center retrospective study [J].
Li, Shengxu ;
Lin, Duanyu ;
Tang, Mingdeng ;
Liu, Daojia ;
Lyu, Qinghu ;
Zhang, Jieping .
JOURNAL OF GASTROINTESTINAL ONCOLOGY, 2022, 13 (02) :637-646
[8]  
Makhlouf HR, 1999, ARCH PATHOL LAB MED, V123, P707
[9]   FDG avidity and PET/CT patterns in primary gastric lymphoma [J].
Radan, Lea ;
Fischer, Doron ;
Bar-Shalom, Rachel ;
Dann, Eldad J. ;
Epelbaum, Ron ;
Haim, Nissim ;
Gaitini, Diana ;
Israel, Ora .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2008, 35 (08) :1424-1430
[10]   Heterotopic Pancreas: Histopathologic Features, Imaging Findings, and Complications1 [J].
Rezvani, Maryam ;
Menias, Christine ;
Sandrasegaran, Kumaresan ;
Olpin, Jeffrey D. ;
Elsayes, Khaled M. ;
Shaaban, Akram M. .
RADIOGRAPHICS, 2017, 37 (02) :484-499
12