Cutaneous metastatic lung cancer detected with18F-FDG PET

A 48-year-old male smoker presented with a chief complaint of persistent cough for three months. A CT scan revealed only a large right paratracheal mass. The plan was to obtain histological confirmation of suspected lung cancer via bronchoscopy and mediastinoscopy. A whole body^sup 18^F-FDG (2-deoxy...

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Bibliographic Details
Published in:Annals of nuclear medicine 2006-02, Vol.20 (2), p.147-149
Main Authors: Civelek, A. Cahid, Piotrowski, Bryan, Osman, Medhat M., Memisoglu, Esat, Khayyat, Nael, Reimers, Hans Joachim, Naunheim, Keith S.
Format: Article
Language:English
Subjects:
Adrenal glands
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Summary:A 48-year-old male smoker presented with a chief complaint of persistent cough for three months. A CT scan revealed only a large right paratracheal mass. The plan was to obtain histological confirmation of suspected lung cancer via bronchoscopy and mediastinoscopy. A whole body^sup 18^F-FDG (2-deoxy-2-[^sup 18^F]fluoro-D-glucose) PET Scan was ordered for staging and localization of the most accessible biopsy site. There was a large, intense hypermetabolic focus corresponding to the paratracheal lesion seen on CT, as well as a lesion in the right adrenal gland. There was also a superficial, subcutaneous hypermetabolic lesion in the mid-back. The subcutaneous lesion, which previously had not been noted, was biopsied and proved to be metastatic adenocarcinoma consistent with the lung primary. This case illustrates the clinical utility of reporting soft tissue abnormalities, which may provide an alternative, more readily accessible location for biopsy that is both safer and less expensive than bronchoscopy or mediastinoscopy.[PUBLICATION ABSTRACT]
ISSN:0914-7187
1864-6433
DOI:10.1007/BF02985627