舊貼鏈接:
https://bbs.wenxuecity.com/health/1141706.html
https://bbs.wenxuecity.com/health/1142882.html
PET-CT 結果:
IMPRESSION:
1. Intensely avid left upper lobe mass with FDG avid lymph nodes in the bilateral hilar, paratracheal and subcarinal nodal stations. The nodes are seemingly stable dating back to 4/22/2022, but the left upper lobe mass is new versus significantly enlarged since that time. While the stability and partial calcification of some of the lymph nodes as well as a positive QuantiFERON test suggest granulomatous disease as a potential etiology, malignancy remains a concern, and correlation with upcoming biopsy results is needed.
2. Diffuse mild to moderate marrow uptake without CT correlate is nonspecific, potentially reactive/inflammatory.
3. Mildly FDG avid enlarged left retroperitoneal lymph node versus retroperitoneal soft tissue nodule is nonspecific and may or may not be related to the process above, close attention on follow-up.
4. Intense FDG uptake within a prominent subcentimeter short axis right level 2 lymph node and bilateral tonsils and nasopharynx, indeterminate but most likely reactive. Attention on follow-up.
我的理解,如果是癌,就已經轉移?
下邊付穀歌翻譯:
印象:
1. 左上葉強烈腫塊,FDG 淋巴結腫大
雙側肺門、氣管旁和隆突下淋巴結站。這
節點看似穩定,可追溯到 4/22/2022,但左上
自那時以來,肺葉質量是新的而不是顯著增大。盡管
一些淋巴結的穩定性和部分鈣化
QuantiFERON 測試呈陽性表明肉芽腫性疾病
潛在的病因、惡性腫瘤仍然是一個問題,並且與
需要即將到來的活檢結果。
2. 沒有 CT 相關性的彌漫性輕度至中度骨髓攝取是
非特異性,潛在反應性/炎症性。
3. 與輕度 FDG 左腹膜後淋巴結腫大相比
腹膜後軟組織結節是非特異性的,可能是也可能不是
以上流程相關,密切關注後續。
4. 突出的亞厘米短軸內強烈的 FDG 吸收
右側2級淋巴結和雙側扁桃體和鼻咽,
不確定但很可能是反應性的。關注後續。