Positron Emission Tomography with 2-Deoxy-2-[F-18] Fluoro-D-Glucose in the Detection of Malignancy in Intraductal Papillary Mucinous Neoplasms of the Pancreas

被引:0
作者
Goh, Brian K. P. [1 ]
Chung, Yaw-Fui Alexander [1 ,4 ]
Ng, David C. E. [2 ]
Selvarajan, Sathiyamoorthy [3 ]
Soo, Khee-Chee [1 ,4 ]
机构
[1] Singapore Gen Hosp, Dept Surg, Outram Rd, Singapore 169608, Singapore
[2] Singapore Gen Hosp, Dept Nucl Med, Singapore, Singapore
[3] Singapore Gen Hosp, Dept Pathol, Singapore, Singapore
[4] Natl Canc Ctr, Dept Surg Oncol, Singapore, Singapore
来源
JOURNAL OF THE PANCREAS | 2007年 / 8卷 / 03期
关键词
Diagnosis; Pancreatic Neoplasms; Positron-Emission Tomography;
D O I
暂无
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A 79-year-old Indian male was admitted with upper abdominal discomfort of 1-year duration which was associated with loss of weight and appetite. Serum tumor markers, including carcinoembryonic antigen and carbohydrate antigen 19-9, were within normal limits. A computed tomographic scan demonstrated a cystically dilated and tortuous pancreatic duct measuring 1.9 cm, suggestive of an intraductal papillary mucinous neoplasm. Fusion positron emission tomography/computed tomography with 2-deoxy-2-[F-18] fluoro-D-glucose positron emission tomography (FDG-PET/CT) which was subsequently performed confirmed a metabolically active focus within the pancreatic head mass with a standard uptake value (SUVmax) of 3.5 compatible with carcinoma. A total pancreatectomy was performed and the final histology demonstrated a main-duct type intraductal papillary mucinous neoplasm with a focus of high-grade dysplasia compatible with carcinoma-in-situ. These images illustrate the emerging utility of FDG-PET/CT in the preoperative detection of malignancy in intraductal papillary mucinous neoplasm.
引用
收藏
页码:350 / 354
页数:5
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