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Desmoid fibroma in the clavicle detected by 18F-NaF PET/CT
Fibroma desmoide de la clavícula detectado mediante PET/TC con 18F-NaF
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El inmunofenotipo de las células en huso mostró depósitos de β-catenina en el núcleo (B).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Z. Wang, Y. Xia, Y. Zhao, H. Liu, Y. Chen" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Z." "apellidos" => "Wang" ] 1 => array:2 [ "nombre" => "Y." "apellidos" => "Xia" ] 2 => array:2 [ "nombre" => "Y." "apellidos" => "Zhao" ] 3 => array:2 [ "nombre" => "H." "apellidos" => "Liu" ] 4 => array:2 [ "nombre" => "Y." 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Utilidad de la PET/TC con <span class="elsevierStyleSup">18</span>F-FDG" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1025 "Ancho" => 2508 "Tamanyo" => 170871 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">1. Whole-body <span class="elsevierStyleSup">123</span>I-MIBG imaging. 2. Axial <span class="elsevierStyleSup">123</span>I-MIBG SPECT/CT fusion sections. 3. Axial CT sections with iv contrast administration. 4. Axial <span class="elsevierStyleSup">18</span>F-FDG PET/CT fusion sections. 5. Whole-body <span class="elsevierStyleSup">18</span>F-FDG imaging. Increased <span class="elsevierStyleSup">123</span>I-MIBG uptake in right paratracheal lymphadenopathy (1, 2) showing calcified pattern and iv contrast enhancement (3) with no significant metabolic activity (4, 5). Lack of metabolic activity (4, 5) in left sacrum lesion, with <span class="elsevierStyleSup">123</span>I-MIBG uptake (1, 2), and no significant alteration on the CT component (3).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.R. Garcia, P. Bassa, M. Soler, A. Jaramillo, S. Ortiz, E. Riera" "autores" => array:6 [ 0 => array:2 [ "nombre" => "J.R." "apellidos" => "Garcia" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Bassa" ] 2 => array:2 [ "nombre" => "M." "apellidos" => "Soler" ] 3 => array:2 [ "nombre" => "A." "apellidos" => "Jaramillo" ] 4 => array:2 [ "nombre" => "S." "apellidos" => "Ortiz" ] 5 => array:2 [ "nombre" => "E." "apellidos" => "Riera" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S2253654X18303287" "doi" => "10.1016/j.remn.2019.03.001" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253654X18303287?idApp=UINPBA00004N" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808919300734?idApp=UINPBA00004N" "url" => "/22538089/0000003800000006/v1_201911280920/S2253808919300734/v1_201911280920/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting image</span>" "titulo" => "Desmoid fibroma in the clavicle detected by <span class="elsevierStyleSup">18</span>F-NaF PET/CT" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "391" "paginaFinal" => "392" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Zi Wang, Yuxiao Xia, Yanhong Zhao, Huipan Liu, Yue Chen" "autores" => array:5 [ 0 => array:3 [ "nombre" => "Zi" "apellidos" => "Wang" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Yuxiao" "apellidos" => "Xia" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Yanhong" "apellidos" => "Zhao" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:3 [ "nombre" => "Huipan" "apellidos" => "Liu" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 4 => array:4 [ "nombre" => "Yue" "apellidos" => "Chen" "email" => array:1 [ 0 => "chenyue5523@126.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Department of Nuclear Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, PR China" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Nuclear Medicine and Molecular Imaging Key Laboratory of Sichuan Province, Luzhou, Sichuan, PR China" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fibroma desmoide de la clavícula detectado mediante PET/TC con <span class="elsevierStyleSup">18</span>F-NaF" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 466 "Ancho" => 1250 "Tamanyo" => 132038 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histologic examination showed that spindle-shaped cells with mild morphology grew aggressively in the bone trabecula and parosteal tissues (A). Spindle cell immunophenotyping showed β-catenin deposited in the nucleus (B).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 50-year-old female had a lump in the right clavicle, which caused occasional pain, for the past year. Physical examination revealed a protruding lump measuring 2.5<span class="elsevierStyleHsp" style=""></span>cm in diameter located at the proximal end of the right clavicle, presenting a fixed base and poor mobility. Body surface ultrasonography, computed tomography (CT) of the right clavicle and magnetic resonance imaging (MRI) showed bone destruction in the proximal part of the right clavicle with a soft-tissue mass.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Since ultrasound, CT, and MRI were limited to the upper chest of this patient and fluorine-18-sodium fluoride positron emission tomography/computed tomography (<span class="elsevierStyleSup">18</span>F-NaF PET/CT) is more sensitive than <span class="elsevierStyleSup">18</span>F-FDG in bone imaging, the patient underwent <span class="elsevierStyleSup">18</span>F-NaF PET/CT to assess the involved remaining bones (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). The procedure showed increased uptake of <span class="elsevierStyleSup">18</span>F-NaF in the right clavicle and the adjacent sternum, C6, and T12 (A). Clavicular axial PET showed high uptake at the proximal end of the right clavicle (B). Clavicular axial CT (C) and PET/CT fusion (D) showed mixed bone destruction with a soft-tissue mass at the proximal end of the right clavicle. The adjacent sternum and anterior branch of the right rib were involved, and <span class="elsevierStyleSup">18</span>F-NaF uptake at the corresponding site was increased (SUV<span class="elsevierStyleInf">max</span> 30.0). Thoracic 12 vertebra axial PET showed high uptake of <span class="elsevierStyleSup">18</span>F-NaF (E); axial CT (F) and PET/CT fusion (G) images showed increased bone density in the corresponding vertebral body, a local bone structure disorder on the right edge of the vertebral body, slight thickening of the adjacent soft tissue and increased <span class="elsevierStyleSup">18</span>F-NaF uptake (SUV<span class="elsevierStyleInf">max</span> 20.9). A week after admission, the patient underwent a biopsy of the proximal clavicle mass on the right side, and the pathological diagnosis was in favour of a benign tumor. Subsequently, the patient was discharged and voluntarily received conservative treatment.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Six months later, the proximal clavicle mass of the patient showed no signs of improvement. The patient was again admitted to the hospital to undergo lesion removal near the proximal clavicle and the adjacent sternum. Resected lesion tissue was sent for pathological examination after surgery. Histologic examination (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) showed that spindle-shaped cells with mild morphology grew aggressively in the bone trabecula and parosteal tissues (A). Spindle cell immunophenotyping showed the following: β-catenin (nuclear +) (B), Vim (+), PCK (−), CD34 (−), SMA (−), Desmin (−), S-100 (−), P53 (−), Ki-67 (+/<1%). Imaging and the aforementioned pathological findings suggested desmoid fibroma at the proximal end of the right clavicle. Desmoid fibroma, also known as aggressive fibromatosis, is a clonal proliferation that may originate from mesenchymal stem cells.<a class="elsevierStyleCrossRef" href="#bib0020"><span class="elsevierStyleSup">1</span></a> It is a benign tumor with an invasive growth pattern. The edge of the tumor is often unclear, interlaced with surrounding tissues, and is prone to local recurrence but with no metastasis.<a class="elsevierStyleCrossRef" href="#bib0025"><span class="elsevierStyleSup">2</span></a> Approximately 80% of sporadic desmoid fibromas involve mutations in the β-catenin gene.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">3</span></a> These mutations result in the accumulation of β-catenin in the cytoplasm and in the nucleus; thus, immunostaining of this protein facilitates diagnosis. However, the patient's spinal lesions were not verified histologically. Finally, the patient was discharged.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Wang Z, Xia Y, Zhao Y, Liu H, Chen Y. Fibroma Desmoide de la clavícula detectado mediante PET/TC con <span class="elsevierStyleSup">18</span>F-NaF. Rev Esp Med Nucl Imagen Mol. 2019;38:391–392.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 844 "Ancho" => 1500 "Tamanyo" => 100175 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">The <span class="elsevierStyleSup">18</span>F-NaF PET/CT showed increased uptake of <span class="elsevierStyleSup">18</span>F-NaF in the right clavicle and the adjacent sternum (A, long arrow), C6 (A, curved arrow), and T12-L1 (A, short arrow). Clavicular axial PET showed high uptake at the proximal end of the right clavicle (B, SUV<span class="elsevierStyleInf">max</span> 30.0). Clavicular axial CT (C) and fusion (D) showed mixed bone destruction with a soft-tissue mass at the proximal end of the right clavicle. The adjacent sternum and anterior branch of the right rib were involved (osteogenic), and <span class="elsevierStyleSup">18</span>F-NaF uptake at the corresponding site was increased (SUV<span class="elsevierStyleInf">max</span> 30.0). Thoracic 12 vertebra axial PET showed high uptake of <span class="elsevierStyleSup">18</span>F-NaF (E, SUV<span class="elsevierStyleInf">max</span> 20.9); axial CT (F) and fusion (G) image showed increased bone density in the corresponding vertebral body, a local bone structure disorder on the right edge of the vertebral body, slight thickening of the adjacent soft tissue and increased <span class="elsevierStyleSup">18</span>F-NaF uptake (SUV<span class="elsevierStyleInf">max</span> 20.9).</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 466 "Ancho" => 1250 "Tamanyo" => 132038 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Histologic examination showed that spindle-shaped cells with mild morphology grew aggressively in the bone trabecula and parosteal tissues (A). Spindle cell immunophenotyping showed β-catenin deposited in the nucleus (B).</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0020" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Aggressive fibromatosis (desmoid tumor) is derived from mesenchymal progenitor cells" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C. Wu" 1 => "S. Amini-Nik" 2 => "P. Nadesan" 3 => "W.L. 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| 2020 July | 1 | 2 | 3 |
