F-18 FDG PET/CT Findings in a Case of Undifferentiated Embryonal Sarcoma of the Liver With Lung and Adrenal Gland Metastasis in a Child

Min Kyung Lee, Chang Gyu Kwon, Kyung Hoon Hwang, Wonsick Choe, Jee‐Eun Kim, Hann Tchah, In Sang Jeon

Clinical Nuclear Medicine · 2009 · 12 citations · 5 references

Concepts

Abstract

A 7-year-old boy presented with an undifferentiated embryonal sarcoma of the liver (UESL), which is a rare pediatric neoplasm that originates from the mesenchyme. F-18 FDG PET/CT associated with a separately acquired contrast-enhanced CT was performed to evaluate the status of the tumor during postoperative chemotherapy, which followed the initial neoadjuvant chemotherapy (vincristine, cisplatin, adriamycin, cyclophosphamide, and actinomycin-D) and radical tumor resection. Evaluation of the F-18 FDG PET/CT demonstrated the presence of a highly metabolic lesion in the liver (primary site) and the presence of distinct foci of FDG uptake as a result of tumor metastases, with 3 foci being observed in both lungs and one being observed in the right adrenal gland. This case gives a suggestion that F-18 FDG PET/CT can be valuable method for evaluation of the status of UESL.

References

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