Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Paragonimiasis that was Suspicious for a Lung Malignancy by PET/CT

PET/CT에서 폐암으로 의심된 폐흡충증 1예

  • Moon, You Ri (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Lee, Yang Deok (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Park, Sang Hyun (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Cho, Yong Soo (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Na, Dong Jib (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Cho, Yong Seon (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Han, Min Soo (Department of Internal Medicine, Eulji University School of Medicine) ;
  • Choi, Hee Jeong (Department of Family Medicine, Eulji University School of Medicine) ;
  • Kim, Do Hyung (Department of Thoracic Surgery, Eulji University School of Medicine) ;
  • Yang, Seoung Oh (Department of Radiology, Eulji University School of Medicine) ;
  • Kim, Kyung Hee (Department of Pathology, Eulji University School of Medicine)
  • 문유리 (을지대학교 의과대학 내과학교실) ;
  • 이양덕 (을지대학교 의과대학 내과학교실) ;
  • 박상현 (을지대학교 의과대학 내과학교실) ;
  • 조용수 (을지대학교 의과대학 내과학교실) ;
  • 나동집 (을지대학교 의과대학 내과학교실) ;
  • 조용선 (을지대학교 의과대학 내과학교실) ;
  • 한민수 (을지대학교 의과대학 내과학교실) ;
  • 최희정 (을지대학교 의과대학 가정의학교실) ;
  • 김도형 (을지대학교 의과대학 흉부외과학교실) ;
  • 양승오 (을지대학교 의과대학 영상의학교실) ;
  • 김경희 (을지대학교 의과대학 병리학교실)
  • Received : 2007.08.31
  • Accepted : 2007.09.29
  • Published : 2007.12.30
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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.

FDG-PET/CT는 악성종양 발견에 많은 기여를 하고 있는 영상진단법이지만, 염증성 질환에서 위양성을 보일 수 있다. 저자들은 국내외적으로 보고된 바가 많지 않은 PET/CT에서 양쪽 폐, 복부 림프절과 왼쪽 궁둥이의 증가된 FDG 섭취로 폐암으로 의심된 폐흡충증을 경험하였기에 문헌고찰과 함께 보고한다.

Keywords

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