계명대학교 의학도서관 Repository

F-18 fluorodeoxyglucose positron emission tomography/computed tomography image of gastric mucormycosis mimicking advanced gastric cancer: A case report

Metadata Downloads
Author(s)
Bong-Il Song
Keimyung Author(s)
Song, Bong Il
Department
Dept. of Nuclear Medicine (핵의학)
Journal Title
World Journal of Clinical Cases
Issued Date
2019
Volume
7
Issue
10
Keyword
F-18 fluorodeoxyglucosePositron emission tomographyMucormycosisAmphotericin BGastric cancerCase report
Abstract
BACKGROUND
Mucormycosis is a very rare fungal infection, and its prognosis is poor. Most common sites of infection are the sinuses, lung, or skin, and gastric involvement is uncommon. The standard antifungal therapy is the treatment of choice for gastric mucormycosis. However, the symptoms of gastric mucormycosis are varied and the early diagnosis is not easy.

CASE SUMMARY
I report a 53-year-old alcoholic man, who was admitted due to epigastric pain. The upper gastrointestinal endoscopy revealed a huge ulcer lesion in the stomach, which was suspected to be gastric cancer. F-18 fluorodeoxyglucose positron emission tomography/computed tomography (F-18 FDG PET/CT) showed diffusely intense FDG uptake at the ulcer lesion of the stomach, and several enlarged hypermetabolic lymph nodes were noted at the left gastric chain. Although, endoscopy and F-18 FDG PET/CT findings suggested advanced gastric cancer with regional lymph node metastases, there was no cancer cells in the biopsy results and multiple fungal hyphae were noted in the periodic acid-Schiff stained image.

CONCLUSION
He was diagnosed with gastric mucormycosis and successfully underwent amphotericin B and posaconazole treatment.
Keimyung Author(s)(Kor)
송봉일
Publisher
School of Medicine (의과대학)
Citation
Bong-Il Song. (2019). F-18 fluorodeoxyglucose positron emission tomography/computed tomography image of gastric mucormycosis mimicking advanced gastric cancer: A case report. World Journal of Clinical Cases, 7(10), 1155–1160. doi: 10.12998/wjcc.v7.i10.1155
Type
Article
ISSN
2307-8960
Source
https://www.wjgnet.com/2307-8960/full/v7/i10/1155.htm
DOI
10.12998/wjcc.v7.i10.1155
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42030
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Nuclear Medicine (핵의학)
공개 및 라이선스
  • 공개 구분공개
파일 목록

Items in Repository are protected by copyright, with all rights reserved, unless otherwise indicated.