A CASE OF ACUTE APPENDICITIS WHICH SHOWED POSITIVE FINDINGS ON PET/CT AND WAS DIFFICULT TO DIAGNOSE

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  • ＰＥＴ／ＣＴで陽性を呈し，診断に苦慮した急性虫垂炎の１例

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A 61-year-old woman presented to our department because PET/CT showed an accumulation with a standardized uptake value (SUV) in the ileocecum. Abdominal enhanced CT and colonoscopy showed a tumor measuring 4 cm in the ileocecum. Biopsy revealed it to be staged as group 2. The laparoscopic ileocecal resection was performed under the suspect of a neoplastic lesion including primary carcinoma of the appendix. The tumor site of the cecum was reddish and regional lymph nodes were swollen. Acute appendicitis was histopathologically diagnosed. Although PET/CT is useful in diagnosing colorectal tumors, inflammatory diseases should be considered in the differentiation from tumor lesions of the ileocecal region.

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