Pancreatic cancer detected with 18F-FDG PET/CT in a case of IgG4-related disease / Cáncer de páncreas detectado mediante PET/TC con 18F-FDG en un caso de enfermedad relacionada con IgG4
Rev. esp. enferm. dig
; 115(12): 742-744, Dic. 2023. ilus
Artigo
em Inglês
| IBECS
| ID: ibc-228733
Biblioteca responsável:
ES1.1
Localização: ES15.1 - BNCS
ABSTRACT
We present a case of a 67-year-old male presenting with severe abdominal pain, laboratory tests revealed IgG levels of 63.5 g/L, IgG4 levels of 63.7 g/L, and negative results for ANCA (Anti-Neutrophil Cytoplasmic Antibodies), Hematuria immunofixation electrophoresis, as well as Cold globulin qualitative test. 18F-FDG PET/CT revealed multiple lesions with increased metabolism in the submaxillary saliva gland, intrahepatic bile ducts, prostate, seminal vesicle glands, and the body of the pancreas. Additionally, a circular cystic-solid lesion with metabolic heterogeneity was observed in the head of the pancreas, accompanied by visible dilatation of the pancreatic duct. The diagnostic imaging suggested IgG4-related disease (IgG4-RD), while pancreatic malignancy could not be definitively ruled out. The patient underwent fine-needle aspiration (FNA) biopsies of lung nodules and the prostate gland, all of which were consistent with the diagnosis of IgG4-RD. Additionally, FNA biopsy of a pancreatic lesion is consistent with the diagnosis of pancreatic ductal adenocarcinoma.(AU)
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Bases de dados nacionais
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Espanha
Base de dados:
IBECS
Assunto principal:
Neoplasias Pancreáticas
/
Fluordesoxiglucose F18
/
Eletroforese
/
Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada
/
Doença Relacionada a Imunoglobulina G4
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Rev. esp. enferm. dig
Ano de publicação:
2023
Tipo de documento:
Artigo
Instituição/País de afiliação:
Peking University First Hospital/China