^18F-FDG PET/CT炎症性肌纤维母细胞瘤恶变一例

Malignant inflammatory myofibroblastoma:^18F-FDG PET/CT imaging

笔者报道了一例炎症性肌纤维母细胞瘤恶变病例,从临床症状、CT、^18F-FDG PET/CT检查、临床诊断、病理诊断及预后等方面介绍并分析该病特点,并通过文献复习加深了对炎症性肌纤维母细胞瘤的认识。该病例为炎症性肌纤维母细胞瘤恶变,疾病进展快,影像学表现无特异性,通过病理及预后诊断。肌纤维母细胞瘤一般以良性为主,恶性发病率少,一旦发生,容易误诊,需结合临床、影像学检查、病理结果、治疗效果及预后综合考虑。

A case of malignant inflammatory myofibroblastoma was reported.The characteristics of the disease were analyzed using clinical symptoms,CT,^18F-FDG PET/CT examination,clinical diagnosis,pathological diagnosis,and prognosis.The understanding of this disease was deepened through literature review.The case was verified as malignant inflammatory myofibroblastoma.The disease progresses quickly and had low specificity.Diagnosis needed pathology and prognosis.Myofibroblastoma is mostly benign,and the incidence of malignant diseases is small.Once myofibroblastoma occurs,it is easy to misdiagnose.Thus,a combination of clinical,imaging,pathological,therapeutic,and prognostic considerations is needed.