A Case of Paragonimiasis that was Suspicious for a Lung Malignancy by PET/CT.
10.4046/trd.2007.63.6.521
- Author:
You Ri MOON
1
;
Yang Deok LEE
;
Sang Hyun PARK
;
Yong Soo CHO
;
Dong Jib NA
;
Yong Seon CHO
;
Min Soo HAN
;
Hee Jeong CHOI
;
Do Hyung KIM
;
Seoung Oh YANG
;
Kyung Hee KIM
Author Information
1. Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea. lydmd@hanmail.net
- Publication Type:Case Report
- Keywords:
Paragonimiasis;
PET/CT;
Lung;
VATS
- MeSH:
Diagnosis;
Eggs;
Electrons;
Humans;
Inflammation;
Lung Neoplasms;
Lung*;
Lymph Nodes;
Middle Aged;
Neoplasm Metastasis;
Ovum;
Paragonimiasis*;
Paragonimus westermani;
Positron-Emission Tomography and Computed Tomography*;
Thoracic Surgery, Video-Assisted
- From:Tuberculosis and Respiratory Diseases
2007;63(6):521-525
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Positron emission tomography/computed tomography (PET/CT) is valuable for the diagnosis of malignancies. However, PET/CT is unable to discriminate exactly between inflammation and a neoplasm. We report a case of a 50-year-old man with pulmonary paragonimiasis that was suspicious for lung cancer, as detected by PET/CT. The use of PET/CT revealed multilobulated consolidation on the right lung and patchy consolidation on the left lung, with increased fluorodeoxyglucose (FDG) uptake. In addition, the left paraaortic lymph node (LN) and peripancreatic LN showed enlargement with increased FDG uptake. Lung cancer with multiple lymph node metastases was suspected from the increased standardized uptake values (SUV >4.5) determined by PET/CT. We performed wedge resection via video-assisted thoracic surgery (VATS) and found Paragonimus westermani eggs in the involved tissues.
