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Gan To Kagaku Ryoho ; 41(12): 1599-601, 2014 Nov.
Artigo em Japonês | MEDLINE | ID: mdl-25731266

RESUMO

Although ¹8F-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) is a powerful tool for detecting the recurrence of colorectal cancer, FDG uptake is not tumor specific. Herein, we report a case of a 65-year- old man who underwent emergency colectomy for perforation of colon cancer. FDG-PET/CT after surgery showed 2 tumors that were difficult to differentiate from peritoneal metastases with invasion to the spleen. Splenectomy was performed, and the histopathology revealed that the tumors in fact were abscesses. This is a clinically thought-provoking case that showed the difficulty of the differential diagnosis between early recurrence after emergent surgery of colorectal cancer and the postoperative changes.


Assuntos
Abscesso Abdominal/diagnóstico , Neoplasias Colorretais/diagnóstico por imagem , Diagnóstico Diferencial , Recidiva Local de Neoplasia , Abscesso Abdominal/cirurgia , Idoso , Fluordesoxiglucose F18 , Humanos , Masculino , Recidiva Local de Neoplasia/diagnóstico por imagem , Tomografia por Emissão de Pósitrons , Tomografia Computadorizada por Raios X
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