First Case Report of F-18 FDG PET/CT in a Rare Case of Bilateral Adrenal and Lung Metastasis from Primary Hepatic Angiosarcoma

Oncology, Gastroenterology and Hepatology Reports,2018,7,1,75-76.
Published:December 2017
Type:Case Report
Authors:
Author(s) affiliations:

Koramadai Karuppusamy Kamaleshwaran*, Edathurthy Kalarikal Radhakrishnan, Raghi Paramben Jose, Ajit Sugunan Shinto

Department of Nuclear Medicine, PET/CT and Radionuclide therapy, Kovai Medical center and Hospital Limited,Coimbatore-641014, INDIA.

Abstract:

Hepatic angiosarcoma is a very rare disease, accounting for only 2% of primary liver malignancy. They are rare tumours with poor prognosis, with patients usually dying within 6 months. Metastases mainly occur in lymph nodes, spleen, lungs, bones and adrenals. There are some studies that reported the use of Fluroine -18 Fluorodeoxyglucose (FDG)-positron emission tomography (PET)/ computer tomography (CT)(F 18 FDG PET/CT) in angiosarcomas (hepatic, cardiac, venous and cutaneous angiosarcomas) in the literature. Bilateral adrenal metastasis from angiosarcoma of liver is a rare phenomenon. We report the first case of 36 year old patient, angiosarcoma of liver, post right lobe hepatectomy status, presented with bilateral adrenal and lung metastases imaged using F- 18 FDG PET/CT.

Whole body F -18 FDG PET/CT maximum projection image(MIP) (a), axial(b) and coronal (c)PET/CT showing enhancing necrotic lesion in both adrenal glands