Multi-site abdominal tuberculosis mimics malignancy on 18F-FDG PET/CT: Report of three cases

被引:14
作者
Tian, Geng [1 ]
Xiao, Yong [2 ]
Chen, Bin [3 ]
Guan, Hong [4 ]
Deng, Qun-Yi [5 ]
机构
[1] Shenzhen Univ, Affiliated Hosp 1, Dept Tumor, Shenzhen Peoples Hosp 2, Shenzhen 518035, Guangdong, Peoples R China
[2] Guangdong Frontier Def Armed Police Gen Hosp, Dept Radiol, Shenzhen 518032, Guangdong, Peoples R China
[3] Shenzhen Univ, Affiliated Hosp 1, Dept Gen Surg, Shenzhen Peoples Hosp 2, Shenzhen 518035, Guangdong, Peoples R China
[4] Shenzhen Univ, Affiliated Hosp 1, Dept Pathol, Shenzhen Peoples Hosp 2, Shenzhen 518035, Guangdong, Peoples R China
[5] Shenzhen Third Peoples Hosp, Dept Pneumol, Shenzhen 518020, Guangdong, Peoples R China
关键词
Abdominal tuberculosis; Differential diagnosis; F-18-fluorodeoxyglucose; Positron emission tomography/computed tomography; Malignancy; EMISSION TOMOGRAPHY/COMPUTED TOMOGRAPHY; FDG PET; CANCER; CT;
D O I
10.3748/wjg.v16.i33.4237
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
F-18-fluorodeoxyglucose positron emission/computed tomography (F-18-FDG PET/CT) imaging, an established procedure for evaluation of malignancy, shows an increased F-18-FDG uptake in inflammatory conditions. We present three patients with abdominal pain and weight loss. Conventional imaging studies indicated that abdominal neoplasm and F-18-FDG PET/CT for assessment of malignancy showed multiple lesions with intense F-18-FDG uptake in abdomen of the three cases. However, the three patients were finally diagnosed with multi-site abdominal tuberculosis (TB). Of them, two were diagnosed with TB by pathology, one was diagnosed with TB clinically. They recovered after anti-TB therapy. Few reports on accumulation of F-18-FDG in abdominal TB are available in the literature. A high index of suspicion is necessary to achieve an early diagnosis and a better outcome of the disease. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:4237 / 4242
页数:6
相关论文
共 18 条
[11]   Abdominal tuberculosis: Peritoneal involvement shown by F-18 FDG PET [J].
Shimamoto, Hiroaki ;
Hamada, Kenichiro ;
Higuchi, Ichiro ;
Tsujihata, Masao ;
Nonomura, Norio ;
Tomita, Yasuhiko ;
Okuyama, Akihiko ;
Aozasa, Katsuyuki ;
Hatazawa, Jun .
CLINICAL NUCLEAR MEDICINE, 2007, 32 (09) :716-718
[12]   Clinical role of 18F-fluorodeoxyglucose positron emission tomography/computed tomography in post-operative follow up of gastric cancer:: Initial results [J].
Sun, Long ;
Su, Xin-Hui ;
Guan, Yong-Song ;
Pan, Wei-Ming ;
Luo, Zuo-Ming ;
Wei, Ji-Hong ;
Wu, Hua .
WORLD JOURNAL OF GASTROENTEROLOGY, 2008, 14 (29) :4627-4632
[13]   Clinical usefulness of 18F-FDG PET/CT in the restaging of esophageal cancer after surgical resection and radiotherapy [J].
Sun, Long ;
Su, Xin-Hui ;
Guan, Yong-Song ;
Pan, Wei-Ming ;
Luo, Zuo-Ming ;
Wei, Ji-Hong ;
Zhao, Long ;
Wu, Hua .
WORLD JOURNAL OF GASTROENTEROLOGY, 2009, 15 (15) :1836-1842
[14]   Intense FDG activity in peritoneal tuberculosis mimics peritoneal carcinomatosis [J].
Takalkar, Amol M. ;
Bruno, Gabriel L. ;
Reddy, Madhusudhan ;
Lilien, David L. .
CLINICAL NUCLEAR MEDICINE, 2007, 32 (03) :244-246
[15]   Tuberculosis: A Benign Impostor [J].
Tan, Cher H. ;
Kontoyiannis, Dimitrios P. ;
Viswanathan, Chitra ;
Iyer, Revathy B. .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2010, 194 (03) :555-561
[16]  
XI X, 2010, J CANC RES CLIN ONCO
[17]   Abnormal FDG PET Imaging in Tuberculosis Appearing Like Mesothelioma Anatomic Delineation by CT Can Aid in Differential Diagnosis [J].
Yeh, Chia-Lu ;
Chen, Liang-Kuang ;
Chen, Shih-Wei ;
Chen, Yen-Kung .
CLINICAL NUCLEAR MEDICINE, 2009, 34 (11) :815-817
[18]  
Zhuang HM, 2001, J NUCL MED, V42, P1412