PET/MRI多模态显像鉴别诊断神经母细胞瘤随访偶发肝脏炎性肌纤维母细胞瘤1例  

Differential diagnosis of hepatic inflammatory myofibroblastic tumor during follow-up ofneuroblastoma by PET/MRI multimodal imaging: a case report

作　　者：赵悦彤 许秦风 宋结平 赵震宇 张川[1] 李涛[3] 邵国强[1] Zhao Yuetong;Xu Qinfeng;Song Jieping;Zhao Zhenyu;Zhang Chuan;Li Tao;Shao Guoqiang(Department of Nuclear Medicine,Nanjing First Hospital,Nanjing Medical University,Nanjing 210006,China;Department of Nuclear Medicine,Jiangsu Province Hospital of Chinese Medicine,Nanjing 210029,China;Department of Oncology Surgery,Children's Hospital of Nanjing Medical University,Nanjing 210008,China)

机构地区：[1]南京医科大学附属南京医院核医学科,南京210006 [2]江苏省中医院核医学科,南京210029 [3]南京医科大学附属儿童医院肿瘤外科,南京210008

出　　处：《国际放射医学核医学杂志》2024年第5期330-334,共5页International Journal of Radiation Medicine and Nuclear Medicine

摘　　要：笔者报道了1例通过PET/MRI多模态显像鉴别诊断神经母细胞瘤(NB)随访偶发肝脏炎性肌纤维母细胞瘤(IMT)的患儿。68Ga-1,4,7,10-四氮杂环十二烷-1,4,7,10-四乙酸-1-萘丙氨酸3-奥曲肽(DOTA-NOC)PET/MRI显像在NB肝转移病灶与肝脏IMT的鉴别诊断中发挥着重要作用。笔者回顾了IMT的影像及病理特征,并与其他儿童肝脏占位性病变进行鉴别诊断,有助于今后临床作出准确诊断。The authors reported a case of pediatric patient diagnosed with hepatic inflammatory myofibroblastic tumor(IMT)during follow-up of neuroblastoma(NB),which was differentiated from NB metastasis through PET/MRI multimodal imaging.68Ga-1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid-1-Nal3-octreotide(DOTA-NOC)PET/MRI imaging played an important role in the differential diagnosis of NB hepatic metastasis and hepatic IMT.The authors reviewed the imaging and pathological characteristics of IMT and differentiated it from other pediatric hepatic space-occupying lesions,which will help to make accurate diagnoses in the future.

关 键 词：炎性肌纤维母细胞瘤 肝脏占位性病变 神经母细胞瘤 多模态显像 奥曲肽 鉴别诊断 病理特征 IMT 

分 类 号：R730.44[医药卫生—肿瘤] R739.4[医药卫生—临床医学]