Carcinoma, tuberculosis and elastofibroma in one patient: is [18F]FDG-PET/CT helpful?

A. Rotger, G. Trifirò, L. L. Travaini, C. de Cicco, G. Paganelli

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)22-25
Number of pages4
JournalRevista Espanola de Medicina Nuclear
Volume28
Issue number1
DOIs
Publication statusPublished - Feb 2009

Keywords

  • Carcinoma
  • Elatofibroma
  • PET
  • Tuberulosis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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