PDF(Pubmed)
Abstract：
Distant metastasis of cholangiocarcinoma is most commonly diagnosed in the liver; however, it can also be found in the lungs, distant lymph nodes, bones, and brain. Distant lymph node metastasis outside the abdominal region without concurrent abdominal metastasis is exceedingly rare in extrahepatic cholangiocarcinoma. Herein, we present interesting 18F-FDG PET/CT images of a 49-year-old male patient with common bile duct cancer. In this case, the patient, who was scheduled for surgery, unexpectedly showed axillary lymph node metastasis on a preoperative 18F-FDG PET scan, which was subsequently confirmed via histological examination. Although such cases are exceptionally rare, this accurate diagnosis prompted a modification of the treatment plan, leading to a positive therapeutic response.
摘要：
胆管癌的远处转移最常见于肝脏；然而，它也可以在肺部找到，远处淋巴结,骨头,和大脑。在肝外胆管癌中，腹部区域以外远处淋巴结转移而不同时发生腹部转移极为罕见。在这里，我们展示了1例49岁男性胆管癌患者的18F-FDGPET/CT图像.在这种情况下,病人,被安排手术的人，术前18F-FDGPET扫描意外显示腋窝淋巴结转移，随后通过组织学检查证实。尽管这种情况非常罕见，这种准确的诊断促使治疗计划的修改，导致积极的治疗反应。
