Yıl: 2019 Cilt: 28 Sayı: 2 Sayfa Aralığı: 79 - 82 Metin Dili: İngilizce İndeks Tarihi: 24-10-2020

Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT

Öz:
Dystrophic epidermolysis bullosa (DEB) is a rare, inherited skin fragility disorder characterized by blister formation in the sublamina densa. DEB is associated with aggressive squamous cell carcinoma (SCC) that has increased risk of metastases and poor prognosis. A 41-year-old woman with DEB underwent 18F-fluoro-2-deoxy-glucose positron emission tomography/computed tomography (18F-FDG PET/BT). PET/CT showed increased 18F-FDG uptakes in multifocal cutaneous lesions in both lower extremities. The patient was diagnosed with SCC via skin biopsy from the left lateral lower thigh. Ten months later, PET/CT showed increased FDG uptakes in the primary tumor area as well as the left inguinal and left supraclavicular lymph node regions. 18F-FDG PET/CT seems to be useful for re-staging and planning appropriate therapeutic strategy in DEB-patients with SCC.
Anahtar Kelime:

Distrofik Epidermolizis Bülloza Tanısı Alan Bir Olguda Skuamöz Hücreli Karsinom Odağının 18F-FDG PET/BT Yöntemi ile Saptanması

Öz:
Distrofik epidermolizis bülloza (DEB), sublamina densada veziküler ve yaygın bül oluşumu ile karakterize nadir görülen kalıtsal bir deri frajilite bozukluğudur. DEB bilhassa artmış metastaz riski ve kötü prognostik özellikler gösteren agresif skuamöz hücreli karsinom (SHK) oluşumu ile ilişkilendirilmiştir. DEB tanısı konulan 41 yaşındaki kadın olgu 18F-floro-2-deoksi-glukoz pozitron emisyon tomografisi/bilgisayarlı tomografi (18F-FDG PET/BT) taraması ile deri malignitesi açısından incelenmiştir. PET/BT taraması ile her iki alt ekstremitede multifokal kutanöz lezyonlarda artmış 18F-FDG tutulumu gösterilmiş ve sol lateral alt uyluk bölge derisinden elde edilen biyopsi materyali ile SHK tanısı konulmuştur. On ay sonra yapılan ikinci PET/BT taraması sonucunda primer tümör alanı, sol inguinal ve sol supraklaviküler lenf nodu alanında artmış 18F-FDG tutulumu gösterilmiştir. SHK’li DEB hastalarında 18F-FDG PET/BT yönteminin özellikle uygun terapötik stratejinin belirlenmesi adına hastalığın yönetimi ve yeniden evrelendirilmesinde faydalı olacağı kanaatindeyiz.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık
  • Schwieger-Briel A, Kiritsi D, Schempp C, Has C, Schumann H. BetulinBased Oleogel to Improve Wound Healing in Dystrophic Epidermolysis Bullosa: A Prospective Controlled Proof-of-Concept Study. Dermatol Res Pract 2017;2017:5068969.
  • Fine JD, Bruckner-Tuderman L, Eady RA, Bauer EA, Bauer JW, Has C, Heagerty A, Hintner H, Hovnanian A, Jonkman MF, Leigh I, Marinkovich MP, Martinez AE, McGrath JA, Mellerio JE, Moss C, Murrell DF, Shimizu H, Uitto J, Woodley D, Zambruno G. Inherited epidermolysis bullosa: Updated recommendations on diagnosis and classification. J Am Acad Dermatol 2014;70:1103-1126.
  • Montaudie H, Chiaverini C, Sbidian E, Charlesworth A, Lacour JP. Inherited epidermolysis bullosa and squamous cell carcinoma: a systematic review of 117 cases. Orphanet J Rare Dis 2016;11:117.
  • Stratigos A, Garbe C, Lebbe C, Malvehy J, del Marmol V, Pehamberger H, Peris K, Becker JC, Zalaudek I, Saiag P, Middleton MR, Bastholt L, Testori A, Grob JJ; European Dermatology Forum (EDF); European Association of Dermato-Oncology (EADO); European Organization for Research and Treatment of Cancer (EORTC). Diagnosis and treatment of invasive squamous cell carcinoma of the skin: European consensus-based interdisciplinary guideline. Eur J Cancer 2015;51:1989-2007.
  • Jennings L, Schmults CD. Management of high-risk cutaneous squamous cell carcinoma. J Clin Aesthet Dermatol 2010;3:39-48.
  • Cho SB, Chung WG, Yun M, Lee JD, Lee MG, Chung KY. Fluorodeoxyglucose positron emission tomography in cutaneous squamous cell carcinoma: retrospective analysis of 12 patients. Dermatol Surg 2005;31:446-447.
  • Mahajan S, Barker CA, Singh B, Pandit-Taskar N. Clinical value of 18F-FDGPET/CT in staging cutaneous squamous cell carcinoma. Nucl Med Commun 2019.
  • Mackie GC, Avram AM. FDG PET imaging features of epidermolysis bullosa complicated by squamous cell carcinoma. Clin Nucl Med 2005;30:69-71.
APA ARSLAN E, Cermik T, Koku Aksu A, GUREL M, Leblebici C (2019). Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT. , 79 - 82.
Chicago ARSLAN ESRA,Cermik Tevfik Fikret,Koku Aksu Ayse Esra,GUREL Mehmet Salih,Leblebici Cem Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT. (2019): 79 - 82.
MLA ARSLAN ESRA,Cermik Tevfik Fikret,Koku Aksu Ayse Esra,GUREL Mehmet Salih,Leblebici Cem Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT. , 2019, ss.79 - 82.
AMA ARSLAN E,Cermik T,Koku Aksu A,GUREL M,Leblebici C Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT. . 2019; 79 - 82.
Vancouver ARSLAN E,Cermik T,Koku Aksu A,GUREL M,Leblebici C Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT. . 2019; 79 - 82.
IEEE ARSLAN E,Cermik T,Koku Aksu A,GUREL M,Leblebici C "Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT." , ss.79 - 82, 2019.
ISNAD ARSLAN, ESRA vd. "Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT". (2019), 79-82.
APA ARSLAN E, Cermik T, Koku Aksu A, GUREL M, Leblebici C (2019). Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT. Molecular Imaging and Radionuclide Therapy, 28(2), 79 - 82.
Chicago ARSLAN ESRA,Cermik Tevfik Fikret,Koku Aksu Ayse Esra,GUREL Mehmet Salih,Leblebici Cem Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT. Molecular Imaging and Radionuclide Therapy 28, no.2 (2019): 79 - 82.
MLA ARSLAN ESRA,Cermik Tevfik Fikret,Koku Aksu Ayse Esra,GUREL Mehmet Salih,Leblebici Cem Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT. Molecular Imaging and Radionuclide Therapy, vol.28, no.2, 2019, ss.79 - 82.
AMA ARSLAN E,Cermik T,Koku Aksu A,GUREL M,Leblebici C Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT. Molecular Imaging and Radionuclide Therapy. 2019; 28(2): 79 - 82.
Vancouver ARSLAN E,Cermik T,Koku Aksu A,GUREL M,Leblebici C Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT. Molecular Imaging and Radionuclide Therapy. 2019; 28(2): 79 - 82.
IEEE ARSLAN E,Cermik T,Koku Aksu A,GUREL M,Leblebici C "Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT." Molecular Imaging and Radionuclide Therapy, 28, ss.79 - 82, 2019.
ISNAD ARSLAN, ESRA vd. "Detection of Squamous Cell Carcinoma Foci in a Patient with Dystrophic Epidermolysis Bullosa in 18F-FDG PET/CT". Molecular Imaging and Radionuclide Therapy 28/2 (2019), 79-82.