周硕,林美福,陈文新,陈国宝,李君霞,陈彩龙.18F-FDG PET/CT显像在厚壁型胆囊癌诊断中的价值[J].济宁医学院学报,2014,(5):323-324 |
18F-FDG PET/CT显像在厚壁型胆囊癌诊断中的价值 |
Diagnostic value of 18F-FDG PET/CT imaging in patients with thick-wall gallbladder carcinoma |
投稿时间:2014-08-15 |
DOI:10.3969/j.issn.1000-9760.2014.05.006 |
中文关键词: 胆囊肿瘤;放射性核素显像;脱氧葡萄糖 |
英文关键词: Gallbladder neoplasms;Radionuclide imaging;Deoxyglucose |
基金项目:福建省卫生系统中青年骨干人才培养项目(编号:2013-ZQN-JC-4) |
作者 | 单位 | 周硕 | 福建医科大学省立临床医学院, 福建福州 350001 | 林美福 | 福建医科大学省立临床医学院, 福建福州 350001 | 陈文新 | 福建医科大学省立临床医学院, 福建福州 350001 | 陈国宝 | 福建医科大学省立临床医学院, 福建福州 350001 | 李君霞 | 福建医科大学省立临床医学院, 福建福州 350001 | 陈彩龙 | 福建医科大学省立临床医学院, 福建福州 350001 |
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中文摘要: |
目的 探讨18F-FDG PET/CT显像在厚壁型胆囊癌诊断中的价值 。方法 13例CT或B超发现胆囊壁增厚患者行18F-FDG PET/CT检查,鉴别病变良恶性。结果 13例患者中,5例表现为18F-FDG摄取阳性,其中4例为胆囊癌,1例为慢性胆囊炎。8例患者表现为18F-FDG摄取阴性。其中3例经手术证实为慢性胆囊炎,其余5例结合临床资料及随访半年后复查,确诊为慢性胆囊炎。18F-FDG PET/CT诊断厚壁型胆囊癌的敏感性、特异性分别为100%、88.9%。结论 18F-FDG PET/CT显像对厚壁型胆囊癌的诊断有较好的临床价值。 |
英文摘要: |
Objective To evaluate the value of 18F-FDG PET/CT imaging in the diagnosis of thick-wall gallbladder carcinoma(TWGC). Methods 18F-FDG PET/CT was performed in 13 patients with gallbladder wall thickening detected by CT or US in order to determine benign or malignant tumours. Results Of the 13 patients, it showed positive uptake of FDG in the gallbladder wall in 5 patients. Of these 5 patients, gallbladder cancer was found in 4 patients. The remaining one, who had chronic cholecystitis, had false-positive findings. The other 8 patients had negative uptake of FDG in the gallbladder wall. Three of these 8 underwent surgical resection, which yielded a diagnosis of chronic cholecystitis. The other 5patients exhibited no sign of gallbladder malignancy and have been followed without active treatment. The sensitivity and specificity of 18F-FDG PET/CT in detecting TWGC was 100% and 88.9%.Conclusion 18F-FDG PET/CT is able to distinguish between benign and malignant gallbladder wall thickening. |
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