ojrdrtОнкологический журнал: лучевая диагностика, лучевая терапияJournal of oncology: diagnostic radiology and radiotherapy2587-75932713-167XНЕКОММЕРЧЕСКОЕ ПАРТНЕРСТВО «ОБЩЕСТВО ИНТЕРВЕНЦИОННЫХ ОНКОРАДИОЛОГОВ»10.37174/2587-7593-2022-5-2-76-80ojrdrt-236Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCLINICAL CASESПЭТ/КТ с 18F-ФДГ при эозинофильном фасциите. Клиническое наблюдениеPET/CT with 18F-FDG in Eosinophilic Fasciitis. Clinical Casehttps://orcid.org/0000-0001-7226-5129ТулинП. Е.TulinP. E.

Тулин Павел Евгеньевич — к.м.н., с.н.с. отделения позитронной эмиссионной томографии НИИ клинической и экспериментальной радиологии

115478, Москва, Каширское шоссе, 24

24 Kashirskoye Highway, Moscow, 115478

480pol@mail.ruhttps://orcid.org/0000-0003-3576-6156ОджароваА. А.OdzharovaA. A.

Акгуль Атаевна Оджарова — к.м.н., с.н.с. отделения позитронной эмиссионной томографии НИИ клинической и экспериментальной радиологии

115478, Москва, Каширское шоссе, 24

24 Kashirskoye Highway, Moscow, 115478

https://orcid.org/0000-0002-5804-4706БеляковаМ. А.BelyakovaM. A.

Белякова Мария Алексеевна — ординатор кафедры рентгенологии и радиологии Российской медицинской академии непрерывного профессионального образования Минздрава России

115478, Москва, Каширское шоссе, 24

24 Kashirskoye Highway, Moscow, 115478

https://orcid.org/0000-0002-8476-7879КрыловА. С.KrylovA. S.

Крылов Александр Сергеевич — к.м.н., заведующий лабораторией радиоизотопной диагностики НИИ клинической и экспериментальной радиологии

115478, Москва, Каширское шоссе, 24

24 Kashirskoye Highway, Moscow, 115478

Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина Минздрава РоссииРоссияN.N. Blokhin National Medical Research Center of OncologyRussian Federation202225062022527680Copyright © Тулин П.Е., Оджарова А.А., Белякова М.А., Крылов А.С., 20222022Тулин П.Е., Оджарова А.А., Белякова М.А., Крылов А.С.Tulin P.E., Odzharova A.A., Belyakova M.A., Krylov A.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.oncoradjournal.ru/jour/article/view/236Цель

Цель: Оценка возможностей ПЭТ/КТ в диагностике эозинофильного фасциита на примере клинического случая.

Материал и методы

Материал и методы: Пациенту 37 лет с жалобами на субфебрильную температуру, потерю веса, отеки нижних конечностей, затруднение движения в коленных суставах было проведено ПЭТ/КТ-исследование с 18F-ФДГ для исключения паранеопластического синдрома. По результатам ПЭТ/КТ, данным лабораторных анализов и анамнеза был заподозрен эозинофильный фасциит. По месту жительства пациенту была проведена глубокая биопсия кожи, мышц, фасции левого плеча. Биопсия проведена с учетом данных ПЭТ/КТ из области наибольшей метаболической активности. По результатам морфологического исследования подтвержден диагноз эозинофильного фасциита.

Заключение

Заключение: ПЭТ/КТ позволила в совокупности с клинико-лабораторными данными предположить диагноз эозинофильного фасциита, исключив паранеопластический синдром, а также определить оптимальную область проведения биопсии.

Purpose

Purpose: Assessment of PET capabilities in the diagnosis of eosinophilic fasciitis.

Material and methods

Material and methods: A 37-year-old patient with complaints of subfebrile temperature, weight loss, swelling of the lower extremities, difficulty in movement in the knee joints underwent PET/CT with 18F-FDG to exclude paraneoplastic syndrome. According to the results of PET/CT, laboratory tests and anamnesis, eosinophilic fasciitis was suspected. A deep biopsy of the skin, muscles, fascia of the left shoulder was performed. Localization was chosen taking into account the convenience of anatomical access for biopsy, based on the highest values of accumulation of 18F-FDG. According to the results of morphological examination, the diagnosis of eosinophilic fasciitis was confirmed.

Conclusion

Conclusion: PET/CT made it possible, together with clinical and laboratory data, to assume the diagnosis of eosinophilic fasciitis, excluding paraneoplastic syndrome, and also to determine the optimal area for biopsy.

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The authors declare that there are no conflicts of interest present.