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Bains, Sukhkarn,Reimert, Matthew,Win, Aung Zaw,Khan, Sana,Aparici, Carina Mari The Korea Society of Nuclear Medicine 2012 핵의학 분자영상 Vol.46 No.2
We describe the case of a patient with known history of psoriasis that presented with 1 year of unexplained fever, muscle weakness and marked weight loss, suspicious for B symptoms of a malignant origin. [$^{18}F$]-Fluorodeoxyglucose positron emission tomography-computed tomography (FDG-PET/CT) scans demonstrated an unusual serpiginous pattern of uptake in the fascia and muscles as well as lymph node activity. Multiple histological samples, including a final PET-probe guided lymph node surgical resection, excluded malignancy and confirmed the diagnosis of reactive inflammatory changes, with a plausible diagnosis of autoimmune lymphoproliferative syndrome with associated lymphadenitis, fasciitis and myositis, possibly mediated by tumor necrosis factor (TNF) inhibitor. To our knowledge, there is no evidence of a previously reported FDG uptake pattern of fascia and muscle involvement in psoriatic arthritis.
Diagnosis of Cardiac Metastasis from Endometrial Cancer by F-18 FDG-PET/CT
T. Liu,S. Khan,S. Behr,C. Mari Aparici 대한핵의학회 2014 핵의학 분자영상 Vol.48 No.3
We report a case of a 59-year-old woman with rightventricular metastasis of undifferentiated endometrial cancer. Cardiac metastasis from endometrial cancer is a very rarefinding. The case demonstrates that undifferentiated endometrialcancer is capable of metastasizing, presumably through ahematogenous route, to unexpected distant organs. Theseunexpected sites should not be undermined in the restagingand surveillance of these patients.