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False-Positive Bone Metastases on PET/CT Secondary to Sarcoidosis in a Patient With Rectal Cancer.
MedLine Citation:
PMID:  22310266     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Patient with newly diagnosed rectal cancer underwent staging PET/CT that showed an intensely [F-18]-fluoro-2-deoxy-D-glucose (FDG)-avid rectal tumor, but also multifocal, intensely FDG-avid mediastinal lymphadenopathy and skeletal foci. The bone foci had no corresponding lytic or blastic lesions on CT. There were mildly FDG-avid reticulonodular opacities in both lungs. This apparent metastatic distribution pattern was highly atypical for rectal cancer; therefore, biopsy was recommended. It showed granulomatous disease in a lymph node and the bone marrow, indicating sarcoidosis. Bone involvement in sarcoidosis is rare, but can lead to the false-positive appearance of metastatic disease on PET/CT.
Authors:
Kenneth M Montini; Mark Tulchinsky
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  37     ISSN:  1536-0229     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  307-10     Citation Subset:  IM    
Affiliation:
From the Department of Radiology, Penn State Hershey Medical Center, Hershey, PA.
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