Atrial Metastasis From Sarcomatoid Renal Cell Carcinoma: Integration Between 18F-FDG PET/CT and Cardiac 3-Dimensional Volume Rendering.


Journal

Clinical nuclear medicine
ISSN: 1536-0229
Titre abrégé: Clin Nucl Med
Pays: United States
ID NLM: 7611109

Informations de publication

Date de publication:
Dec 2020
Historique:
pubmed: 22 9 2020
medline: 15 12 2020
entrez: 21 9 2020
Statut: ppublish

Résumé

We describe the case of a 54-year-old woman, previously submitted to nephrectomy for sarcomatoid renal cell carcinoma and treated with antibiotics because of central venous catheter infection. An F-FDG PET/CT scan was obtained that demonstrated bone and lymph node metastases and also disclosed an irregular area of highly increased uptake (SUVmax 19.4) in the right atrium. Clinical data did not suggest a relapsed infection. A contrast-enhanced CT examination of the heart enabled the diagnosis of intra-atrial metastasis. Furthermore, integration between PET and cardiac 3-dimensional volume rendering proved useful for defining the anatomical relationships between atrial metastasis and large vessels.

Identifiants

pubmed: 32956126
doi: 10.1097/RLU.0000000000003302
pii: 00003072-202012000-00010
doi:

Substances chimiques

Fluorodeoxyglucose F18 0Z5B2CJX4D

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

970-972

Références

Van Sluis J, de Jong J, Schaar J, et al. Performance characteristics of the digital Biograph Vision PET/CT system. J Nucl Med. 2019;60:1031–1036.
Cutroneo G, Bruschetta D, Trimarchi F, et al. In vivo CT direct volume rendering: a three-dimensional anatomical description of the heart. Pol J Radiol. 2016;81:21–28.
Zakhartseva LM, Zakharova VP, Shatrova KM, et al. Metastatic cardiac tumors: literature review and own observation of testicular tumor metastasis in the right ventricle of the heart. Exp Oncol. 2018;40:336–342.
Ohba K, Miyata Y, Mitsunari K, et al. Left atrial metastasis of renal cell carcinoma: a case report and review of the literature. BMC Res Notes. 2014;7:520.
Maurer AH, Burshteyn M, Adler LP, et al. How to differentiate benign versus malignant cardiac and paracardiac 18F FDG uptake at oncologic PET/CT. Radiographics. 2011;31:1287–1305.
Albano D, Bonacina M, Cossalter E, et al. Right atrial metastasis of GIST detected by 18F-FDG PET/CT. Rev Esp Med Nucl Imagen Mol. 2017;36:129–130.
Nomoto N, Tani T, Konda T, et al. Primary and metastatic cardiac tumors: echocardiographic diagnosis, treatment and prognosis in a 15-years single center study. J Cardiothorac Surg. 2017;12:103.

Auteurs

Luca Filippi (L)

From the Nuclear Medicine Unit.

Angelo Iannarelli (A)

Radiology Unit, "Santa Maria Goretti" Hospital, Latina, Italy.

Cesare Ambrogi (C)

Radiology Unit, "Santa Maria Goretti" Hospital, Latina, Italy.

Oreste Bagni (O)

From the Nuclear Medicine Unit.

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