摘要
诊治要点:·正电子发射断层扫描(PET-CT)检查中不同示踪剂的应用对于区分肿瘤的来源具有很重要的意义。通过11C-乙酸(11C-ACETATE)和18F_脱氧葡萄糖(18F-FDG)的代谢增高情况可区分肝脏及肾脏肿瘤是否为原发性肿瘤。
A 64-year-old man was admitted on July 2011 with masses both in liver and right kidney. After PET-CT and blood test examination, dual primary advanced cancers were speculated to be co-existed in this patient, which having poor prognosis. By evaluation with comprehensive geriatric assessment, the patient also had hypertension, diabetes and atherosclerosis, liver and renal insufficiency. After multidisciplinary consultation and detailed discussion with the patient, the decision of “no surgery and just keep the follow-up” was made. The patient has been followed up for 18 months and the functional evaluation is the same as before. It is very important to evaluate the risk/ benefit equation and improve the standard of care, and make the decision as patient-centered rather than disease-centered in the elderly patients.
出处
《中华老年医学杂志》
CAS
CSCD
北大核心
2013年第4期456-458,共3页
Chinese Journal of Geriatrics
关键词
肾肿瘤
肝肿瘤
危险性评估
Kidney neoplasms
Liver neoplasms
Risk assessment