Lung Cancer Metastasis to an Adrenal Myelolipoma Detected by PET/CT

The patient is a 54-year-old woman with squamous cell lung carcinoma, diagnosed bronchoscopically at the bronchus intermedius. Initial staging F-18 fluorodeoxyglucose PET/CT revealed the hypermetabolic primary perihilar right lower lobe malignancy, and a 13-mm hypermetabolic nodule located within a...

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Bibliographic Details
Published in:Clinical nuclear medicine 2011-10, Vol.36 (10), p.922-924
Main Authors: Althoen, Morgan C, Siegel, Alan, Tsapakos, Michael J, Seltzer, Marc A
Format: Article
Language:English
Subjects:
Adrenal Gland Neoplasms - diagnostic imaging
Adrenal Gland Neoplasms - secondary
Female
Humans
Lung Neoplasms - pathology
Middle Aged
Multimodal Imaging
Myelolipoma - diagnostic imaging
Positron-Emission Tomography
Tomography, X-Ray Computed
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Summary:The patient is a 54-year-old woman with squamous cell lung carcinoma, diagnosed bronchoscopically at the bronchus intermedius. Initial staging F-18 fluorodeoxyglucose PET/CT revealed the hypermetabolic primary perihilar right lower lobe malignancy, and a 13-mm hypermetabolic nodule located within a 45-mm fat density structure at the expected location of the right adrenal gland. No normal-appearing adrenal gland was present. This PET/CT demonstrates metastatic squamous cell carcinoma to an adrenal myelolipoma. A CT-guided biopsy of the nodule confirmed squamous cell carcinoma. This is the patientʼs only PET-evident site of disease beyond the primary tumor, compatible with T2N0M1 disease.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0b013e318217ae93