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原发性甲状旁腺功能亢进症是由甲状旁腺原发病变引起的甲状旁腺激素水平明显增高而导致的全身多系统改变的疾病,以甲状旁腺腺瘤最为多见[1],而骨棕色瘤是在此基础上发生的骨骼系统的一种良性病变,比较罕见,极易误诊。笔者报道了1例由甲状旁腺腺瘤继发多发骨棕色瘤患者的18F-FDG PET/CT影像学特点及诊断过程,并进行相关文献复习及鉴别诊断,旨在为临床诊疗提供参考。
甲状旁腺腺瘤继发多发骨棕色瘤18F-FDG PET/CT显像一例
18F-FDG PET/CT of multiple brown bone tumors secondary to parathyroid adenoma: a case report
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摘要: 笔者报道了1例甲状旁腺腺瘤继发多发骨棕色瘤18F-氟脱氧葡萄糖(FDG) PET/CT显像的病例,关于该病的个案报道并不少见,但因该病例的骨棕色瘤18F-FDG代谢特点与以往报道中的病例有所不同,故被误诊为多发骨髓瘤。笔者主要分析了骨棕色瘤18F-FDG PET/CT的显像特点并进行文献复习、病理分析及鉴别诊断,以期为18F-FDG PET/CT显像对骨棕色瘤的诊断提供更多参考。Abstract: The author reported a case of multiple brown bone tumors secondary to parathyroid adenoma by 18F-fluorodeoxyglucose (FDG) PET/CT. Although the disease was not rare, the 18F-FDG metabolic characteristics of this case are different from those of other reported cases, so it was misdiagnosed as multiple myeloma. The author mainly analyzed the characteristics of 18F-FDG PET/CT of brown bone tumor, and carried out literature review, pathological analysis and differential diagnosis, in order to provide more reference for 18F-FDG PET/CT in the diagnosis of brown bone tumor.
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