Pancreatic cancer detected with 18F-FDG PET/CT in a case of IgG4-related disease / Cáncer de páncreas detectado mediante PET/TC con 18F-FDG en un caso de enfermedad relacionada con IgG4
Rev. esp. enferm. dig
; 115(12): 742-744, Dic. 2023. ilus
Article
in English
| IBECS
| ID: ibc-228733
Responsible library:
ES1.1
Localization: ES15.1 - BNCS
ABSTRACT
We present a case of a 67-year-old male presenting with severe abdominal pain, laboratory tests revealed IgG levels of 63.5 g/L, IgG4 levels of 63.7 g/L, and negative results for ANCA (Anti-Neutrophil Cytoplasmic Antibodies), Hematuria immunofixation electrophoresis, as well as Cold globulin qualitative test. 18F-FDG PET/CT revealed multiple lesions with increased metabolism in the submaxillary saliva gland, intrahepatic bile ducts, prostate, seminal vesicle glands, and the body of the pancreas. Additionally, a circular cystic-solid lesion with metabolic heterogeneity was observed in the head of the pancreas, accompanied by visible dilatation of the pancreatic duct. The diagnostic imaging suggested IgG4-related disease (IgG4-RD), while pancreatic malignancy could not be definitively ruled out. The patient underwent fine-needle aspiration (FNA) biopsies of lung nodules and the prostate gland, all of which were consistent with the diagnosis of IgG4-RD. Additionally, FNA biopsy of a pancreatic lesion is consistent with the diagnosis of pancreatic ductal adenocarcinoma.(AU)
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Pancreatic Neoplasms
/
Fluorodeoxyglucose F18
/
Electrophoresis
/
Positron Emission Tomography Computed Tomography
/
Immunoglobulin G4-Related Disease
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Rev. esp. enferm. dig
Year:
2023
Document type:
Article
Institution/Affiliation country:
Peking University First Hospital/China