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KMID : 1103920100160030325
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Korean Journal of Hepatology
2010 Volume.16 No. 3 p.325 ~ p.328
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Detection of distant metastasis to skeletal muscle by 18F-FDG-PET in a case of intrahepatic cholangiocarcinoma
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Park Se-Kyung
Kim Young-Seok
Jang Jae-Young
Moon Jong-Ho
Lee Moon-Sung
Kim Boo-Sung
Koh Eun-Seok
Park Jung-Mi
Kim Sang-Gyune
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Abstract
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Intrahepatic cholangiocarcinoma is a rare malignancy that originates from the epithelial cells of the intrahepatic bile ducts. Intrahepatic cholangiocarcinoma can metastasize in lymphatic chains, including the hepatoduodenal ligament, and it often invades adjacent organs or metastasizes to other visceral organs such as the lungs, bones, adrenal glands, and brain. However, distant skeletal muscle metastasis is very rare. Moreover, a metastatic skeletal muscle tumor rarely shows specific symptoms, making it difficult to identify in a routine examination. A 45-year-old man with a chief complaint of right upper quadrant abdominal pain was admitted to our hospital. Abdominal ultrasound and computed tomography with contrast enhancement showed a malignant mass in the right hepatic lobe, and 2-[18F] fluoro-2-deoxy-D-glucose positron-emission tomography revealed distant skeletal muscle metastases in the thorax and buttock. The patient underwent an ultrasound-guided percutaneous needle biopsy for the metastatic low-echo masses in the skeletal muscle.
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KEYWORD
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Intrahepatic cholangiocarcinoma, Distant metastasis, 18F-FDG PET
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