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首页> 外文期刊>Radiologia Brasileira >Inguinal and scrotal extramammary Paget’s disease: 18 F-FDG PET/CT imaging
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Inguinal and scrotal extramammary Paget’s disease: 18 F-FDG PET/CT imaging

机译:腹股沟和阴囊乳腺Paget病:18 F-FDG PET / CT成像

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An 87-year-old man presented to our institution for inves tigation of an intertriginous rash, involving the left inner thigh, scrotum, and perineum, which had been neglected for a few years. The lesion was diagnosed as extramammary Paget's disease (EMPD). Due to the potential for EMPD to be associated with gastrointestinal and genitourinary malignancies, a thorough clin ical and imaging evaluation was performed, the results of which were negative. The patient opted for symptomatic care only. Two years later, he returned to our institution with soft tissue swell ing and edema of the left lower extremity, scrotum, and penis, with a nodular scrotal lesion and bilateral inguinal adenopathy (Figure 1). Positron emission tomography/computed tomography (PET/CT) showed 18F-fluorodeoxyglucose (FDG)-avid lesions of the left scrotum, left inguinal lymph node, left pelvic lymph node, T12 vertebra, ribs, and left scapula (Figure 2). Biopsy of the left inguinal adenopathy showed signet-ring cells. Radiation therapy was initiated, resulting in partial improvement, followed by chemotherapy with carboplatin and paclitaxel.
机译:一名87岁的男子出现在我们的机构,调查了被忽略了几年的三叉性皮疹,涉及左大腿内侧,阴囊和会阴。该病变被诊断为乳腺Paget病(EMPD)。由于EMPD可能与胃肠道和泌尿生殖系统的恶性肿瘤有关,因此进行了全面的临床和影像学评估,结果均为阴性。该患者仅选择对症治疗。两年后,他回到我们的机构,出现左下肢,阴囊和阴茎的软组织肿胀和水肿,结节性阴囊病变和双侧腹股沟淋巴结肿大(图1)。正电子发射断层扫描/计算机断层扫描(PET / CT)显示左阴囊,左腹股沟淋巴结,左骨盆淋巴结,T12椎骨,肋骨和左肩cap骨有18F-氟脱氧葡萄糖(FDG)-avid病变(图2)。左腹股沟腺病的活检显示有印戒细胞。开始放疗,导致局部改善,然后用卡铂和紫杉醇进行化疗。

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