气喘作为气管支气管粘膜抗原(PSMA)摄取的一种炎症原因。
Asthma as an Inflammatory Reason of Tracheobronchial PSMA Uptake.
发表日期:2023 Aug 03
作者:
Ángela Bronte Viedma, Juan Fernando Bastidas Tamayo, Juan José Rosales Castillo, Arantza Campo Ezquibela, Macarena Rodriguez-Fraile
来源:
CLINICAL NUCLEAR MEDICINE
摘要:
一名持续升高血清前列腺特异性抗原水平的53岁男性(9.53 ng/mL)并反复进行阴性前列腺活检被推荐进行68Ga-PSMA-11正电子发射计算机断层扫描(PET/CT)。PET/CT显示前列腺局部摄取增加,提示局部前列腺癌。此外,PET/CT还显示气道支气管树弥漫性摄取增加,怀疑是良性病因。鉴于前一周哮喘急性加重的临床史,进一步进行了补充研究,显示肺泡可呼出一氧化氮的病理性水平(92 ppb;参考值,<25 ppb)以及肺功能检查中轻度气道梗阻。这些发现确认哮喘是气道支气管PSMA摄取增加的发炎病因。
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A 53-year-old man with persisting increased serum prostate-specific antigen level (9.53 ng/mL) and repeated negative prostate biopsies was referred for a PET/CT with 68Ga-PSMA-11. The PET/CT revealed focal uptake in the prostate suggestive of localized prostate cancer. Incidentally, it also showed a diffuse uptake in the tracheobronchial tree suspicious for a benign etiology. Because of the clinical history of asthma exacerbation in the previous week, further supplementary studies were performed showing a pathological fractional exhaled nitric oxide level (92 ppb; reference values, <25 ppb) and mild airway obstruction in the spirometry. These findings confirmed asthma as an inflammatory etiology of the tracheobronchial PSMA uptake.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.