Multi-Organ Superscan on F-18-FDG PET/CT in a Patient With Burkitt's Lymphoma

Burkitt's淋巴瘤氟-18氟化去氧葡萄糖正子斷層造影呈現「多器官超級掃描」

10.6332/ANMMI.201909_32(3).0007

楊宗翰(Tsung-Han Yang)；周育祥(Yu-Hsiang Chou)；程紹智(Shiou-Chi Cherng)

Burkitt's lymphoma ； F-18 FDG PET/CT ； multi-organ superscan ； Burkitt's淋巴瘤 ； 氟-18氟化去氧葡萄糖正子斷層／電腦斷層造影 ； 多器官超級掃描

核子醫學暨分子影像雜誌

32卷3期（2019 / 09 / 01）

161 - 165

英文

A 67-year-old male patient with Burkitt's lymphoma (BL) underwent F-18-fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) scan for staging. The images revealed a multi-organ ＂superscan＂: diffusely increased FDG uptake in the liver, spleen, kidneys, and axial skeleton with suppressed physiological FDG uptake in myocardium and brain. BL infiltrates in various extranodal sites resulting in even superscan; F-18-FDG PET/CT may well detect this pattern of malignancy.

一位67歲男性Burkitt's淋巴瘤病人，其氟-18-氟化去氧葡萄糖正子斷層合併電腦斷層造影顯示一罕見肝、脾、兩腎及骨骼整體呈現瀰漫性葡萄糖代謝增加，但心肌及腦幾乎無葡萄糖代謝的情形，即所謂的「多器官超級掃描」（multi-organ super scan）。Burkitt's淋巴瘤會侵犯淋巴結以外的各種結構而導致超級掃描，正子斷層造影可偵測出此種惡性瘤。