[PET/CT with (18F)FDG in the initial staging of a pelvic kidney neoplasm. A case report].

• 发表时间: Jul-Aug 2009
• 来源期刊: Rev Esp Med Nucl
• DOI: 10.1016/S0212-6982(09)00003-2
• PMID: 19922833
• 文章类型: Case Reports
• 作者列表: Pifarré Montaner P,Simó Perdigó M,Plaza López P,Marco V,Alvarez Castells A,Martínez-Miralles E

Mesh: Carcinoma, Renal Cell / diagnosis; Carcinoma, Transitional Cell / diagnostic imaging drug therapy pathology secondary surgery; Chemotherapy, Adjuvant; Combined Modality Therapy; Diagnosis, Differential; Female; Fluorine Radioisotopes; Fluorodeoxyglucose F18; Humans; Hysterectomy; Kidney Cortex / diagnostic imaging; Kidney Neoplasms / diagnostic imaging drug therapy pathology surgery; Kidney Pelvis / diagnostic imaging; Leiomyoma / surgery; Lymphatic Metastasis / diagnostic imaging; Middle Aged; Neoplasm Staging / methods; Neoplasms, Second Primary / diagnostic imaging pathology; Nephrectomy; Palliative Care; Positron-Emission Tomography; Radiopharmaceuticals; Tomography, X-Ray Computed; Uterine Neoplasms / surgery

Abstract

We report a case of 58-year-old woman referred to our service for an (18)FFDG PET/CT study of initial staging after being diagnosed of a pelvic kidney mass consistent with malignancy. The FDG-PET showed an abnormal mass in the right kidney, a suspicious metastasis versus a second primary tumor in the cortex of the kidney and lymph node infiltration in the paracaval nodes. The histological analysis verification after exeresis of the lesions confirmed the diagnosis of renal metastases. In this article, we present a brief review of the literature published on the role of PET in the characterization and initial staging of kidney and urinary tract tumors. We also stress the clinical importance of carefully evaluating any low attenuation lesion or focal glucose uptake detected in these structures in a PET/CT study with (18)FFDG.