食管原发性恶性黑色素瘤 18F-FDG PET/CT显像1例  

18F-FDG PET/CT of primary malignant melanoma of esophagus:a case report

作　　者：张静[1] 王清[1] 丁彬 房娜[1] 王艳丽[1] Zhang Jing;Wang Qing;Ding Bin;Fang Na;Wang Yanli(Department of PET/CT,the Affiliated Qingdao Central Hospital of Qingdao University,the Second Affiliated Hospital of Medical College of Qingdao University,Qingdao 266042,China;Department of Pathology,the Affiliated Qingdao Central Hospital of Qingdao University,the Second Affiliated Hospital of Medical College of Qingdao University,Qingdao 266042,China)

机构地区：[1]青岛大学附属青岛市中心医院、青岛大学第二临床医学院PET/CT中心,青岛266042 [2]青岛大学附属青岛市中心医院、青岛大学第二临床医学院病理科,青岛266042

出　　处：《中华核医学与分子影像杂志》2023年第10期619-620,共2页Chinese Journal of Nuclear Medicine and Molecular Imaging

摘　　要：患者女,70岁,因"吞咽困难2个月"入院。患者2个月前无明显诱因出现吞咽困难,进食干硬食物时加重,吞咽时伴梗阻感及轻度胸痛,无胸闷憋气,无腹痛、腹胀,无反酸嗳气,无恶心呕吐。近日吞咽困难加重,伴轻度后背部疼痛。上消化道钡餐示:食管下段见长径约6.8 cm类椭圆形充盈缺损,相应管腔呈偏心性狭窄,对比剂通过较慢,其上段食管扩张。胸部CT示:食管下段见不规则团块影,最大截面约3.8 cm×3.7 cm,其上段食管扩张;胃贲门壁增厚;肝-胃间隙见最大截面约4.0 cm×2.8 cm肿大淋巴结。入院肿瘤标志物检查均未见异常。

关 键 词：上消化道钡餐 吞咽困难 肿大淋巴结 食管扩张 偏心性狭窄 充盈缺损 团块影 胃贲门 

分 类 号：R735.1[医药卫生—肿瘤] R730.44[医药卫生—临床医学]