医学
纵隔
肺
放射科
氟脱氧葡萄糖
纵隔淋巴结
支气管镜检查
癌
正电子发射断层摄影术
支气管
肺癌
病理
核医学
呼吸道疾病
转移
癌症
内科学
作者
Tetsuo Sonomura,Yasutaka Noda,Morio Sato,Hiroki Sanda,Seigo Ishii,Nobuyuki Kawai,Hiroki Minamiguchi,Motoki Nakaï,T Takeuchi,Isao Takasaka,Kazushi Kishi
出处
期刊:Clinical Nuclear Medicine
[Ovid Technologies (Wolters Kluwer)]
日期:2010-09-01
卷期号:35 (9): 717-719
被引量:1
标识
DOI:10.1097/rlu.0b013e3181ea338e
摘要
A 59-year-old man presented with hemoptysis. Chest x-ray and computed tomography showed a cavitating mass and ground glass opacities in the right lower lobe. Positron emission tomography showed large regions of markedly increased fluorodeoxyglucose uptake in the right lower lobe consistent with primary cancer and intrapulmonary metastases, and several foci of high fluorodeoxyglucose uptake in the mediastinum and left neck consistent with lymph node metastases. We concluded that ground glass opacities were not aspiration of blood but intrapulmonary aerogenic metastases. Continuous active bleeding from the right bronchus (B6) was confirmed by bronchoscopy, and the right lower lobe was resected to remove the bleeding source. Pathologic findings showed pleomorphic carcinoma of the lung with intrapulmonary aerogenic metastases.
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