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Simultaneous Splenic and Colonic Metastases From Gastric Cancer: Different FDG Avidities According to the Density of Cancer Cells Imaged on FDG PET/CT

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Author(s)
원경숙전석길황일선
Alternative Author(s)
Won, Kyoung SookZeon, Seok KilHwang, Il Seon
Publication Year
2013
Abstract
We describe the 18F-FDG PET/CT findings of 2 simultaneous
metastatic gastric cancers to the colon and spleen with quite different FDG
avidities. Longitudinal and weak FDG uptake was observed in the descending
colon; therefore, it could not be distinguished from nonpathological
functional uptake of normal colon. Meanwhile, the splenic mass showed
intense uptake. Contrast-enhanced CT revealed a segmental wall thickening
of the descending colon as well as a hypoattenuating splenic mass suggesting
metastases. Splenectomy and left hemicolectomy were performed. Histological
diagnosis disclosed metastatic gastric cancer. The differential diagnoses
and review of the literature are presented.
Key Words: gastric cancer, spleen, colon, metastasis, FDG PET,
FDG avidity
Department
Dept. of Nuclear Medicine (핵의학)
Dept. of Pathology (병리학)
Publisher
School of Medicine
Citation
Clinical Nuclear Medicine, Vol.38(1) : 60-62, 2013
Type
Article
ISSN
0363-9762
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35457
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