F-18 FDG uptake in borderline intraductal papillary neoplasms of the bile duct

被引:0
作者
Aisheng Dong
Hui Dong
Ling Zhang
Changjing Zuo
机构
[1] Second Military Medical University,Department of Nuclear Medicine, Changhai Hospital
[2] Second Military Medical University,Department of Pathology, Eastern Hepatobiliary Surgery Hospital
[3] Second Military Medical University,Department of Gastroenterology, Changhai Hospital
来源
Annals of Nuclear Medicine | 2012年 / 26卷
关键词
Intraductal papillary neoplasm of the bile duct; Bile duct; F-18 FDG; PET/CT;
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摘要
Intraductal papillary neoplasm of the bile duct (IPN-B) has been recently proposed as the biliary counterpart of intraductal papillary mucinous neoplasm of the pancreas. Histologically, IPN-B can be classified into adenoma, borderline, carcinoma in situ, and invasive carcinoma. Two patients with suspected intraductal tumor underwent fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography. One patient showed an FDG-avid tumor in the right liver with SUVmax of 9.4 in early images and 11.3 in delayed images. The patient underwent complete tumor resection. Adenoma with high-grade dysplasia was confirmed by pathology. The other patient showed an FDG-avid polypoid lesion at the distal common bile duct with SUVmax of 5.4. The lesion was endoscopically resected. Histopathologic findings showed adenoma with low-grade dysplasia. These two cases highlight that IPN-B should be included in the differential diagnosis of abnormal biliary intraductal FDG accumulation along with carcinoma, and inflammatory and infectious processes.
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页码:594 / 598
页数:4
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