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Elevated 18F-NaF uptake in cricoid cartilage in a patient with laryngeal carcinoma: A case report and literature review.

Abstract Laryngeal cancer is aggressive tumor that arises from the tissues of the larynx. Although any bone can be affected, involvement of cricoid cartilage was reported very rarely, and there has been no report of 18F-sodium fluoride positron emission tomography-computed tomography (F-NaF PET-CT) and 3D PET-CT for the evaluation of cricoid cartilage invasion.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29245332
OWN - NLM
STAT- MEDLINE
DCOM- 20180105
LR  - 20180105
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 49
DP  - 2017 Dec
TI  - Elevated 18F-NaF uptake in cricoid cartilage in a patient with laryngeal
      carcinoma: A case report and literature review.
PG  - e9090
LID - 10.1097/MD.0000000000009090 [doi]
AB  - RATIONALE: Laryngeal cancer is aggressive tumor that arises from the tissues of
      the larynx. Although any bone can be affected, involvement of cricoid cartilage
      was reported very rarely, and there has been no report of 18F-sodium fluoride
      positron emission tomography-computed tomography (F-NaF PET-CT) and 3D PET-CT for
      the evaluation of cricoid cartilage invasion. PATIENT CONCERNS: A 54-year-old
      male discovered a protruding mass in the right anterior neck, which had rapidly
      increased in size over a period of 2 months. Subsequently, hoarseness, dysphagia,
      and dyspnea were gradually developed. DIAGNOSES: F-FDG PET-CT demonstrated that
      the abnormal activity was located in a soft tissue mass, which was about 4.2 cm x
      3.8 cm x 3.6 cm in largest dimension in the laryngeal cavity of supraglottic
      portion (SUVmax: 23.6). A swollen lymph node was revealed in the right
      submandibular region, which had intense FDG activity with a SUVmax of 18.4.
      However, there is a high uptake of F-FDG in the region near the bone, which is
      uncertain whether there is any skeletal invasion. NaF PET-CT and 3D PET-CT
      demonstrated increased uptake in the right side of cricoid cartilage (SUVmax:
      13.2). The histopathologic examination confirmed squamous cell carcinoma of
      larynx. INTERVENTIONS: The patient underwent tracheotomy and received
      anti-infective treatment to relieve symptoms of dyspnea and prevent asphyxia.
      OUTCOMES: Clinical follow up of the patient revealed that dyspnea was
      significantly relieved. LESSONS: The case report shows the imaging features of
      cricoid cartilage invasion, including F-FDG PET/CT, 18F-sodium fluoride positron 
      emission tomography-computed tomography (F-NaF PET-CT), and 3D PET-CT. Precise
      understanding of the invasion scope, accurately staging of laryngeal carcinoma,
      and choosing of the most suitable surgical scheme are the factors that lead to
      the optimal treatment of laryngeal neoplasms.
FAU - Xia, Yuxiao
AU  - Xia Y
AD  - Department of Nuclear Medicine, The Affiliated Hospital, Southwest Medical
      University, Luzhou, Sichuan, PR China.
FAU - Qi, Chi
AU  - Qi C
FAU - Zhang, Shumao
AU  - Zhang S
FAU - Huang, Zhanwen
AU  - Huang Z
FAU - Chen, Yue
AU  - Chen Y
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Radiopharmaceuticals)
RN  - 0Z5B2CJX4D (Fluorodeoxyglucose F18)
RN  - 8ZYQ1474W7 (Sodium Fluoride)
SB  - AIM
SB  - IM
MH  - Carcinoma, Squamous Cell/diagnostic imaging/*pathology/surgery
MH  - Cricoid Cartilage/diagnostic imaging/*pathology
MH  - Fluorodeoxyglucose F18
MH  - Humans
MH  - Laryngeal Neoplasms/diagnostic imaging/*pathology/surgery
MH  - Male
MH  - Middle Aged
MH  - Positron Emission Tomography Computed Tomography/*methods
MH  - Radiopharmaceuticals
MH  - Sodium Fluoride
PMC - PMC5728947
EDAT- 2017/12/17 06:00
MHDA- 2018/01/06 06:00
CRDT- 2017/12/17 06:00
PHST- 2017/12/17 06:00 [entrez]
PHST- 2017/12/17 06:00 [pubmed]
PHST- 2018/01/06 06:00 [medline]
AID - 10.1097/MD.0000000000009090 [doi]
AID - 00005792-201712080-00121 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(49):e9090. doi: 10.1097/MD.0000000000009090.