Identification of Distant Metastases From Recurrent Gliosarcoma Using Whole-Body 18F-FDG PET/CT.

Identification of Distant Metastases From Recurrent Gliosarcoma Using Whole-Body 18F-FDG PET/CT.

Unterrainer, Marcus;Ruf, Viktoria;Cyran, Clemens C;Brendel, Matthias;Thon, Niklas;Herms, Jochen;Schüller, Ulrich;Tonn, Joerg-Christian;Bartenstein, Peter;Albert, Nathalie Lisa;
Clinical nuclear medicine 2019 Vol. 44 pp. 923-924
324
unterrainer2019identificationclinical

Abstract

A 51-year-old man presented with recurrent gliosarcoma and increasing cough over the last months. On F-FDG PET/CT, solid lung masses with high F-FDG uptake were present. A biopsy taken from a lung lesion indicated distant metastases from gliosarcoma. Gliosarcoma, a rare malignant central nervous system tumor, presents with extracranial metastases in only less than 10%. As highlighted by this case, F-FDG PET/CT can be used for whole-body staging in patients with metastatic brain tumor. Vice versa, highly F-FDG-avid lung lesions in patients with brain tumors should lead to distant metastases as differential diagnosis despite their rare occurrence.

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