FDG PET/CT in Primary Splenic Angiosarcoma With Diffuse Involvement of the Spleen

ABSTRACTPrimary splenic angiosarcoma is rare. A 44-year-old man presented with abdominal distension and malaise for 7 months. Laboratory tests showed anemia. Abdominal ultrasound showed enlargement of the spleen with multiple hypoechoic nodules. These nodules showed progressive enhancement on dynami...

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Bibliographic Details
Published in:Clinical nuclear medicine 2017-10, Vol.42 (10), p.815-817
Main Authors: Zhao, Qian, Dong, Aisheng, Wang, Yang, He, Tianlin, Zuo, Changjing
Format: Article
Language:English
Subjects:
Adult
Biological Transport
Fluorodeoxyglucose F18 - metabolism
Hemangiosarcoma - diagnostic imaging
Hemangiosarcoma - metabolism
Humans
Male
Middle Aged
Positron Emission Tomography Computed Tomography
Splenic Neoplasms - diagnostic imaging
Splenic Neoplasms - metabolism
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Summary:ABSTRACTPrimary splenic angiosarcoma is rare. A 44-year-old man presented with abdominal distension and malaise for 7 months. Laboratory tests showed anemia. Abdominal ultrasound showed enlargement of the spleen with multiple hypoechoic nodules. These nodules showed progressive enhancement on dynamic enhanced CT. Lymphoma was suspected. FDG PET/CT showed increased nonuniform FDG uptake with SUVmax of 11.6 of the entire spleen. Laparoscopic splenectomy was performed. The pathologic findings were consisted with angiosarcoma with replacement of the spleen. Eight months after surgery, multiple hepatic metastases were detected by follow-up abdominal CT.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0000000000001805