Isolated Skull Metastasis With Unusual Spiculated Periosteal Reaction From Rectal Cancer Resembling Osteosarcoma on FDG PET/CT.


Journal

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

Informations de publication

Date de publication:
01 Nov 2023
Historique:
medline: 10 10 2023
pubmed: 4 10 2023
entrez: 4 10 2023
Statut: ppublish

Résumé

We describe FDG PET/CT findings in a case of isolated skull metastasis with spiculated periosteal reaction from rectal mucinous adenocarcinoma 8 years after proctectomy. The skull metastasis showed heterogeneous FDG uptake and multiple short spicules of bone producing the sunburst appearance resembling primary osteosarcoma or Ewing sarcoma. Familiarity with this atypical imaging appearance of the bone metastasis from rectal cancer may be helpful for the diagnosis and differential diagnosis.

Identifiants

pubmed: 37793159
doi: 10.1097/RLU.0000000000004859
pii: 00003072-202311000-00029
doi:

Substances chimiques

Fluorodeoxyglucose F18 0Z5B2CJX4D
Radiopharmaceuticals 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1006-1008

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest and sources of funding: This work was supported by a grant from the General Program of Shanghai Municipal Health Commission (grant 202040414).

Références

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Roth ES, Fetzer DT, Barron BJ, et al. Does colon cancer ever metastasize to bone first? A temporal analysis of colorectal cancer progression. BMC Cancer . 2009;9:274.
Kanthan R, Loewy J, Kanthan SC. Skeletal metastases in colorectal carcinomas: a Saskatchewan profile. Dis Colon Rectum . 1999;42:1592–1597.
Besbeas S, Stearns MW Jr. Osseous metastases from carcinomas of the colon and rectum. Dis Colon Rectum . 1978;21:266–268.
Mitsuya K, Nakasu Y, Horiguchi S, et al. Metastatic skull tumors: MRI features and a new conventional classification. J Neurooncol . 2011;104:239–245.
Santini D, Tampellini M, Vincenzi B, et al. Natural history of bone metastasis in colorectal cancer: final results of a large Italian bone metastases study. Ann Oncol . 2012;23:2072–2077.
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Bloom RA, Libson E, Husband JE, et al. The periosteal sunburst reaction to bone metastases. A literature review and report of 20 additional cases. Skeletal Radiol . 1987;16:629–634.
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Udare A, Sable N, Kumar R, et al. Solitary osseous metastasis of rectal carcinoma masquerading as osteogenic sarcoma on post-chemotherapy imaging: a case report. Korean J Radiol . 2015;16:175–179.
Akin EA, Qazi ZN, Osman M, et al. Clinical impact of FDG PET/CT in alimentary tract malignancies: an updated review. Abdom Radiol (NY) . 2020;45:1018–1035.
Rodríguez-Fraile M, Cózar-Santiago MP, Sabaté-Llobera A, et al. FDG PET/CT in colorectal cancer. Rev Esp Med Nucl Imagen Mol (Engl Ed) . 2020;39:57–66.
Bianchi A, Jimenez-Segovia M, Bonnin-Pascual J, et al. Aberrant single metastasis to the elbow from primary rectal cancer: a rare presentation. Pan Afr Med J . 2020;36:383.
Kose F, Sakalli H, Sezer A, et al. Colon adenocarcinoma and solitary tibia metastasis: rare entity. J Gastrointest Cancer . 2008;39:146–148.
Singh V, Suraj AK, Mishra V, et al. Rib plasmacytoma with unusual sunburst periosteal reaction. Clin Nucl Med . 2020;45:461–462.

Auteurs

Mingyuan Liu (M)

From the Department of Neurology, Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine.

Aisheng Dong (A)

Departments of Nuclear Medicine.

Changjin Zuo (C)

Departments of Nuclear Medicine.

Yan Zhu (Y)

Pathology, The First Affiliated Hospital of Naval Medical University.

Xiaoling Fu (X)

Department of Medical Oncology, Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, People's Republic of China.

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Classifications MeSH