Eosinophilic Infiltration in the Colon and Liver Mimicking Primary Colon Cancer With Hepatic Metastases on 18F-FDG PET/CT

Abstract

We describe the case of a 78-year-old man presenting with abdominal pain and a weight loss of 5 kg over 2 months. Colonoscopy and abdominal CT suggested colon cancer of hepatic flexure. 18F-FDG PET/CT scan showed moderate FDG uptake lesion at the hepatic flexure colon and multiple foci of FDG accumulation in the liver. These were considered as colon cancer with multiple hepatic metastases. However, the pathologic finding of colonoscopic biopsy and CT-guided liver biopsy showed only eosinophilic infiltration and no evidence of malignancy. Key Words: 18F-FDG, PET/CT, colon, liver, eosinophilic infiltration, eosinophil