CAJ | 학술논문

目的研究18F-FDG PET/CT在心脏肿瘤诊断中的临床应用价值.方法自2007年1月至2011年12月行全身18F-FDG PET/CT检查的8649例受检者中,诊断为心脏肿瘤者占0.16％(14/8649).对这14例患者进行回顾性分析,其中男11例,女3例；年龄46.9(35 ～68)岁.患者最终诊断以外科手术病理结果(5例)、肿瘤病史和临床随访结果(9例)为依据,分析18 F-FDG PET/CT诊断情况.结果 14例心脏肿瘤,18F-FDG PET/CT均作出准确定位和定性诊断.其中,转移性肿瘤11例,占78.6％ (11/14)；原发恶性肿瘤2例,占14.3％ (2/14)；原发良性黏液瘤1例,占7.1％ (1/14).11例转移性肿瘤的原发肿瘤分别为HCC(8例),肺癌(2例)和食管癌(1例).2例原发恶性肿瘤均发生转移.13例恶性肿瘤患者SUVmax为3.2 ～10.7,高于正常心肌.结论全身18F-FDG PET/CT检查对心脏转移及原发肿瘤诊断有重要价值,可探查心脏恶性肿瘤全身转移情况,从而进行准确分期,指导临床治疗.
목적 연구18F-FDG PET/CT재심장종류진단중적림상응용개치.방법 자2007년1월지2011년12월행전신18F-FDG PET/CT검사적8649례수검자중,진단위심장종류자점0.16％(14/8649).대저14례환자진행회고성분석,기중남11례,녀3례；년령46.9(35 ～68)세.환자최종진단이외과수술병리결과(5례)、종류병사화림상수방결과(9례)위의거,분석18 F-FDG PET/CT진단정황.결과 14례심장종류,18F-FDG PET/CT균작출준학정위화정성진단.기중,전이성종류11례,점78.6％ (11/14)；원발악성종류2례,점14.3％ (2/14)；원발량성점액류1례,점7.1％ (1/14).11례전이성종류적원발종류분별위HCC(8례),폐암(2례)화식관암(1례).2례원발악성종류균발생전이.13례악성종류환자SUVmax위3.2 ～10.7,고우정상심기.결론 전신18F-FDG PET/CT검사대심장전이급원발종류진단유중요개치,가탐사심장악성종류전신전이정황,종이진행준학분기,지도림상치료.
Objective To explore the clinical value of 18F-FDG PET/CT in the diagnosis of cardiac neoplasm.Methods Between January 2007 and December 2011,18F-FDG PET/CT was performed in 8649 patients in our hospital,and 14 (0.16％ ; 11 males,3 females,average age 46.9 (35-68) years) patients were diagnosed with cardiac neoplasm.18F-FDG PET/CT data of those 14 patients were retrospectively analyzed.Final diagnoses were confirmed by either histopathology (n =5) or follow-up (n =9).Results Accurate tumor localization and diagnoses were made by 18 F-FDG PET/CT in all 14 patients.Among them,13 were malignant (2(14.3％,2/14) primary and 11(78.6％,11/14) metastatic tumors (8 HCC,2 lung cancer,1 esophageal cancer) ; SUVmax 3.2-10.7) and 1 (7.1％,1/14) was benign (myxoma).Conclusion 18F-FDG PET/CT is useful for the detection and staging of primary malignant and metastatic cardiac neoplasms.