Medicine · 2018
Identification of multiple cardiac metastases from nonsmall-cell lung cancer by 18F-FDG PET/CT: A case report.
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Deng Shengming, Zhang Bin, Li Jihui, Sang Shibiao, Zhang Wei
Аннотация
INTRODUCTION: Multiple cardiac metastases from nonsmall-cell lung cancer are extremely rare. Multiple cardiac metastases detected by F-fluorodeoxyglucose positron-emission tomography/computed tomography (F-FDG PET/CT) have not been previously reported.
PATIENT CONCERNS: A 53-year-old man was admitted to the hospital with left back pain for 1 month.
DIAGNOSES: A contrast-enhanced computed tomography (CECT) scan showed a moderately enhancing mass with a necrotic area in the upper left lobe of the lung and a filling defect in the interventricular septum. Two-dimensional transthoracic echocardiography identified a mass attaching to the endocardial surface of interventricular septum. F-FDG PET/CT showed multiple intense F-FDG uptakes in the cardiac region. Nonsmall-cell lung cancer was confirmed by histopathologic examination of the mass in the upper left lobe of the lung.
INTERVENTION: The patient was treated with Gemcitabine chemotherapy.
OUTCOMES: After 18 months of follow-up, the patient achieved stable disease status according to the Response Evaluation Criteria In Solid Tumors guidelines.
LESSONS: Our case demonstrates thatF-FDG PET/CT is a sensitive and feasible imaging modality to diagnosis multiple cardiac metastases.
PATIENT CONCERNS: A 53-year-old man was admitted to the hospital with left back pain for 1 month.
DIAGNOSES: A contrast-enhanced computed tomography (CECT) scan showed a moderately enhancing mass with a necrotic area in the upper left lobe of the lung and a filling defect in the interventricular septum. Two-dimensional transthoracic echocardiography identified a mass attaching to the endocardial surface of interventricular septum. F-FDG PET/CT showed multiple intense F-FDG uptakes in the cardiac region. Nonsmall-cell lung cancer was confirmed by histopathologic examination of the mass in the upper left lobe of the lung.
INTERVENTION: The patient was treated with Gemcitabine chemotherapy.
OUTCOMES: After 18 months of follow-up, the patient achieved stable disease status according to the Response Evaluation Criteria In Solid Tumors guidelines.
LESSONS: Our case demonstrates thatF-FDG PET/CT is a sensitive and feasible imaging modality to diagnosis multiple cardiac metastases.