Preoperative FDG PET/CT in adrenocortical cancer depicts massive venous tumor invasion

Constantin Lapa, Rudolf A. Werner, Joachim Brumberg, Takahiro Higuchi

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

A 79-year-old woman presented with abdominal pain. Ultrasound revealed an intra-abdominal mass in the left renal region. Comprehensive endocrine workup was unremarkable. The patient was referred for further diagnostic workup. FDG PET/CT revealed a hypermetabolic mass in the left adrenal region. In addition, pathologically increased tracer uptake of 2 renal veins (the upper vein crossing in front of the aorta the lower one crossing behind the aorta) and the inferior vena cava raised the concern for malignant venous infiltration. Adrenalectomy, nephrectomy, and thrombectomy were carefully planned and performed. Adrenocortical carcinoma with tumor thrombus and caval extension was proven by histopathology.

Original languageEnglish
Pages (from-to)570-572
Number of pages3
JournalClinical Nuclear Medicine
Volume39
Issue number6
DOIs
Publication statusPublished - Jun 2014
Externally publishedYes

Keywords

  • Adrenocortical carcinoma
  • PET/CT
  • Tumor thrombus
  • Venous infiltration

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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