Abstract
We present the case of a woman with persistent dorsal pain and two solid lung lesions documented on multidetector CT which showed concomitant [18F]FDG uptake. One of the lesions proved to be adenocarcinoma at biopsy and presented a lower [18F]FDG uptake when compared to the second lesion, which was smaller in size, and was postsurgically diagnosed as tuberculoma. This case portrays the paradoxical metabolic behaviour of two lesions, leading to misdiagnosis and erroneous disease staging in an oncology patient. Incidentally, the patient also had an elastofibroma dorsi, a rare benign tumour which can also be a possible source of false results in the PET exam. We provide explanations and possible solutions to these findings in order to familiarise the physician with them, and optimise patient management.
| Original language | English |
|---|---|
| Pages (from-to) | 22-25 |
| Number of pages | 4 |
| Journal | Revista Espanola de Medicina Nuclear |
| Volume | 28 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Feb 2009 |
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Keywords
- Carcinoma
- Elatofibroma
- PET
- Tuberulosis
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
Carcinoma, tuberculosis and elastofibroma in one patient : is [18F]FDG-PET/CT helpful? / Rotger, A.; Trifirò, G.; L. Travaini, L.; de Cicco, C.; Paganelli, G.
In: Revista Espanola de Medicina Nuclear, Vol. 28, No. 1, 02.2009, p. 22-25.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Carcinoma, tuberculosis and elastofibroma in one patient
T2 - is [18F]FDG-PET/CT helpful?
AU - Rotger, A.
AU - Trifirò, G.
AU - L. Travaini, L.
AU - de Cicco, C.
AU - Paganelli, G.
PY - 2009/2
Y1 - 2009/2
N2 - We present the case of a woman with persistent dorsal pain and two solid lung lesions documented on multidetector CT which showed concomitant [18F]FDG uptake. One of the lesions proved to be adenocarcinoma at biopsy and presented a lower [18F]FDG uptake when compared to the second lesion, which was smaller in size, and was postsurgically diagnosed as tuberculoma. This case portrays the paradoxical metabolic behaviour of two lesions, leading to misdiagnosis and erroneous disease staging in an oncology patient. Incidentally, the patient also had an elastofibroma dorsi, a rare benign tumour which can also be a possible source of false results in the PET exam. We provide explanations and possible solutions to these findings in order to familiarise the physician with them, and optimise patient management.
AB - We present the case of a woman with persistent dorsal pain and two solid lung lesions documented on multidetector CT which showed concomitant [18F]FDG uptake. One of the lesions proved to be adenocarcinoma at biopsy and presented a lower [18F]FDG uptake when compared to the second lesion, which was smaller in size, and was postsurgically diagnosed as tuberculoma. This case portrays the paradoxical metabolic behaviour of two lesions, leading to misdiagnosis and erroneous disease staging in an oncology patient. Incidentally, the patient also had an elastofibroma dorsi, a rare benign tumour which can also be a possible source of false results in the PET exam. We provide explanations and possible solutions to these findings in order to familiarise the physician with them, and optimise patient management.
KW - Carcinoma
KW - Elatofibroma
KW - PET
KW - Tuberulosis
UR - http://www.scopus.com/inward/record.url?scp=65549120297&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=65549120297&partnerID=8YFLogxK
U2 - 10.1016/S0212-6982(09)70212-5
DO - 10.1016/S0212-6982(09)70212-5
M3 - Article
C2 - 19232174
AN - SCOPUS:65549120297
VL - 28
SP - 22
EP - 25
JO - Revista Espanola de Medicina Nuclear
JF - Revista Espanola de Medicina Nuclear
SN - 0213-814X
IS - 1
ER -