正电子发射型计算机断层显像CT (PET-CT)避免漏诊眼睑恶性肿瘤伴全身转移一例

A Case of Positron Emission Tomography-Computed Tomography (PET-CT) to Avoid Missed Diagnosis of a Malignant Eyelid Tumor with Systemic Metastasis

摘要: 患者赵某，女，50岁2月，因“右眼发现‘包块’3月，术后2月复发”，于就诊前3月发现眼睑“包块”，2月前在当地医院行“麦粒肿切除术”。术后口服“消炎药”。术后2周，自觉右眼“包块复发，迅速长大”，到我院就诊后行正电子发射型计算机断层显像CT (PET-CT)检查，检查结果：右眼眼睑和肺部均有恶性占位。遂安排行“右眼眼睑肿物切除+皮瓣转位术”，病理检查结果显示：恶性黑色素瘤(梭A细胞型)。随访6月，肿瘤未见复发及转移。

Abstract: The patient, Miss Zhao, female, 50 years old, was found a tumor in the right eye in 3 month and re-lapsed in 2 month after surgery. She discovered the eyelid “bag block” after three month before going to the doctor. Before two month, she was diagnosed hordeolum in the local hospital, then she took orally anti-inflammatory drug after surgery. After 2 weeks after surgery, consciously the right eye “bag block recurred and grew up quickly”, she went to our hospital for treatment, and the positron emission computed tomography (PET-CT) was examined. The results show that the right eye eyelid and the lungs had malignant position. Then the “Right eye eyelid mass resection + flap transposition” are arranged; pathological examination results show malignant melanoma (shuttle A cell type). There was no recurrence or metastasis of tumor after 6 month follow-up visit.