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FDG PET Evaluation of Mucinous Neoplasms

Correlation of FDG Uptake with Histopathologic Features

Kevin L. Berger1, Siobhan A. Nicholson2, Farrokh Dehdashti1 and Barry A. Siegel1

1 Edward Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd., St. Louis, MO 63110.
2 Department of Pathology, Washington University School of Medicine, St. Louis, MO 63110.



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Fig. 1A. —Recurrent rectal carcinoma in 35-year-old man. CT scan of lower pelvis shows prominent presacral soft tissue (solid arrow), which was subsequently confirmed as recurrent tumor. Note enlarged prostate gland with irregular margins (open arrow), which is suggestive of prostatitis. B = bladder.

 


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Fig. 1B. —Recurrent rectal carcinoma in 35-year-old man. Corresponding transaxial positron emission tomograph reveals very mildly increased 18F-fluorodeoxyglucose (FDG) uptake in perirectal soft tissues (solid arrow) that was incorrectly interpreted as representing posttherapeutic changes. Note mildly increased FDG uptake in prostatic bed (open arrow), consistent with prostatitis. B = bladder.

 


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Fig. 2A. —Recurrent colonic cancer with hepatic metastases in 55-year-old man. Contrast-enhanced CT scan through upper abdomen shows multiple low-attenuation hepatic lesions, some of which are calcified, which are consistent with metastases.

 


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Fig. 2B. —Recurrent colonic cancer with hepatic metastases in 55-year-old man. Corresponding transaxial positron emission tomograph reveals a few areas of mildly increased uptake (arrows) in liver, roughly corresponding to some abnormalities in right hepatic lobe seen on A. Most lesions seen on A exhibit 18F-fluorodeoxyglucose uptake similar to that of normal hepatic parenchyma.

 

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