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문유리 ( You Ri Moon ),이양덕 ( Yang Deok Lee ),박상현 ( Sang Hyun Park ),조용수 ( Yong Soo Cho ),나동집 ( Dong Jib Na ),조용선 ( Yong Seon Cho ),한민수 ( Min Soo Han ),최희정 ( Hee Jeong Choi ),김도형 ( Do Hyung Kim ),양승오 ( Se 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.63 No.6
Positron emission tomography/computed tomography (PET/CT) is valuable for the diagnosis of malignancies. However, PET/CT is unable to discriminate exactly between inflammation and a neoplasm. We report a case of a 50-year-old man with pulmonary paragonimiasis that was suspicious for lung cancer, as detected by PET/CT. The use of PET/CT revealed multilobulated consolidation on the right lung and patchy consolidation on the left lung, with increased fluorodeoxyglucose (FDG) uptake. In addition, the left paraaortic lymph node (LN) and peripancreatic LN showed enlargement with increased FDG uptake. Lung cancer with multiple lymph node metastases was suspected from the increased standardized uptake values (SUV>4.5) determined by PET/CT. We performed wedge resection via video-assisted thoracic surgery (VATS) and found Paragonimus westermani eggs in the involved tissues. (Tuberc Respir Dis 2007;63:521-525)