From the Department of Nuclear Medicine.
Clin Nucl Med. 2021 Aug 1;46(8):700-702. doi: 10.1097/RLU.0000000000003623.
A 78-year-old man with a newly diagnosed gastric adenocarcinoma underwent 18F-FDG and 68Ga-FAPI-04 PET/CT before treatment. Both 18F-FDG and 68Ga-FAPI-04 PET/CT demonstrated intense radioactivity in the gastric cancer. However, the benign Schmorl node in the inferior endplate of the T5 vertebrae showed increased uptake of 68Ga-FAPI-04, which was not FDG avid. Two months after radical gastrectomy of the gastric cancer (pT1aN0M0, IA), a follow-up CT showed that the Schmorl node in T5 vertebrae remained unchanged.
一位 78 岁男性被诊断为新发胃腺癌,在治疗前接受了 18F-FDG 和 68Ga-FAPI-04 PET/CT 检查。18F-FDG 和 68Ga-FAPI-04 PET/CT 均显示胃癌部位放射性摄取增高。然而,T5 椎体下终板的良性 Schmorl 结节对 68Ga-FAPI-04 的摄取增加,而对 FDG 不摄取。胃腺癌根治性胃切除术后 2 个月(pT1aN0M0,IA),随访 CT 显示 T5 椎体的 Schmorl 结节无变化。