Abstract:
POEMS syndrome is a rare paraneoplastic syndrome associated with a plasma cell proliferative disorder. Gallbladder adenocarcinoma is a rare malignancy, with no association with POEMS syndrome. The plasma cell dyscrasia is routinely evaluated with advanced hybrid imaging to assess both anatomic and functional components. We present a case of a 59-year-old female with a known diagnosis of POEMS syndrome who underwent a whole-body restaging evaluation with hybrid positron emission tomography (PET) and magnetic resonance imaging (MR) to restage her plasma cell dyscrasia. She also had a prior diagnosis of gallbladder adenocarcinoma. Our case focuses on the value of PET/MR in this scenario as well as a rare case of osseous metastasis from gallbladder carcinoma.
摘要:
POEMS综合征是一种与浆细胞增殖性疾病相关的罕见副肿瘤综合征。胆囊腺癌是一种罕见的恶性肿瘤,与POEMS综合征无关。用先进的混合成像常规评估浆细胞异常,以评估解剖和功能成分。我们介绍了一例59岁的女性,其已知诊断为POEMS综合征,该女性接受了混合正电子发射断层扫描(PET)和磁共振成像(MR)的全身重新评估,以恢复她的浆细胞发育不良。她还先前诊断为胆囊腺癌。我们的案例着重于PET/MR在这种情况下的价值,以及罕见的胆囊癌骨转移病例。