| Autor: |
Brian K P, Goh, Yaw-Fui Alexander, Chung, David C E, Ng, Sathiyamoorthy, Selvarajan, Khee-Chee, Soo |
| Rok vydání: |
2007 |
| Předmět: |
|
| Zdroj: |
JOP : Journal of the pancreas. 8(3) |
| ISSN: |
1590-8577 |
| Popis: |
A 79-year-old Indian male was admitted with upper abdominal discomfort of 1-year duration which was associated with loss of weight and appetite. Serum tumor markers, including carcinoembryonic antigen and carbohydrate antigen 19-9, were within normal limits. A computed tomographic scan demonstrated a cystically dilated and tortuous pancreatic duct measuring 1.9 cm, suggestive of an intraductal papillary mucinous neoplasm. Fusion positron emission tomography/computed tomography with 2-deoxy-2-[18F] fluoro-D-glucose positron emission tomography (FDG-PET/CT) which was subsequently performed confirmed a metabolically active focus within the pancreatic head mass with a standard uptake value (SUVmax) of 3.5 compatible with carcinoma. A total pancreatectomy was performed and the final histology demonstrated a main-duct type intraductal papillary mucinous neoplasm with a focus of high-grade dysplasia compatible with carcinoma-in-situ. These images illustrate the emerging utility of FDG-PET/CT in the preoperative detection of malignancy in intraductal papillary mucinous neoplasm. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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