期刊
CLINICAL NUCLEAR MEDICINE
卷 46, 期 2, 页码 E109-E111出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/RLU.0000000000003246
关键词
F-18-choline; small cell lung cancer; paraneoplastic; hyperparathyroidism
This case study reports a 64-year-old woman with musculoskeletal pain and elevated serum parathyroid hormone. A PET/CT scan revealed small cell lung cancer with intense uptake in multiple lymph nodes, which resolved after chemotherapy.
We report the case of a 64-year-old woman with musculoskeletal pain and elevated serum parathyroid hormone who had undergone parathyroidectomy for primary hyperparathyroidism 4 years earlier. An F-18-choline PET/CT scan was performed and incidentally showed an intense uptake in a right upper lobe pulmonary nodule and in the right hilar, mediastinal, and cervical lymph nodes. Histopathological analysis confirmed the diagnosis of a small cell lung cancer. Clinical symptoms and recurrent hyperparathyroidism were therefore consistent with a paraneoplastic syndrome. A complete metabolic response was achieved on F-18-FDG PET/CT scan after chemotherapy.
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