False-positive local recurrences on FDG-PET/CT due to postoperative infection - A case report

Yoshiko Mori; Takeshi Nagasaka; Ryo Inada; Ayako Watanabe; Hiroyuki Kishimoto; Yoshitaka Kondou; Toshiyoshi Fujiwara

False-positive local recurrences on FDG-PET/CT due to postoperative infection - A case report

Yoshiko Mori, Takeshi Nagasaka, Ryo Inada, Ayako Watanabe, Hiroyuki Kishimoto, Yoshitaka Kondou, Toshiyoshi Fujiwara

Research output: Contribution to journal › Article › peer-review

Abstract

Although ¹⁸F-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) is a powerful tool for detecting the recurrence of colorectal cancer, FDG uptake is not tumor specific. Herein, we report a case of a 65-year-old man who underwent emergency colectomy for perforation of colon cancer. FDG-PET/CT after surgery showed 2 tumors that were difficult to differentiate from peritoneal metastases with invasion to the spleen. Splenectomy was performed, and the histopathology revealed that the tumors in fact were abscesses. This is a clinically thought-provoking case that showed the difficulty of the differential diagnosis between early recurrence after emergent surgery of colorectal cancer and the postoperative changes.

Original language	English
Pages (from-to)	1599-1601
Number of pages	3
Journal	Gan to kagaku ryoho. Cancer & chemotherapy
Volume	41
Issue number	12
Publication status	Published - Nov 1 2014

Keywords

FDG-PET/CT
Recurrent colorectal cancer

ASJC Scopus subject areas

Cancer Research
Oncology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Cite this

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abstract = "Although 18F-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) is a powerful tool for detecting the recurrence of colorectal cancer, FDG uptake is not tumor specific. Herein, we report a case of a 65-year-old man who underwent emergency colectomy for perforation of colon cancer. FDG-PET/CT after surgery showed 2 tumors that were difficult to differentiate from peritoneal metastases with invasion to the spleen. Splenectomy was performed, and the histopathology revealed that the tumors in fact were abscesses. This is a clinically thought-provoking case that showed the difficulty of the differential diagnosis between early recurrence after emergent surgery of colorectal cancer and the postoperative changes.",

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T1 - False-positive local recurrences on FDG-PET/CT due to postoperative infection - A case report

AU - Mori, Yoshiko

AU - Nagasaka, Takeshi

AU - Inada, Ryo

AU - Watanabe, Ayako

AU - Kishimoto, Hiroyuki

AU - Kondou, Yoshitaka

AU - Fujiwara, Toshiyoshi

PY - 2014/11/1

Y1 - 2014/11/1

N2 - Although 18F-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) is a powerful tool for detecting the recurrence of colorectal cancer, FDG uptake is not tumor specific. Herein, we report a case of a 65-year-old man who underwent emergency colectomy for perforation of colon cancer. FDG-PET/CT after surgery showed 2 tumors that were difficult to differentiate from peritoneal metastases with invasion to the spleen. Splenectomy was performed, and the histopathology revealed that the tumors in fact were abscesses. This is a clinically thought-provoking case that showed the difficulty of the differential diagnosis between early recurrence after emergent surgery of colorectal cancer and the postoperative changes.

AB - Although 18F-fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) is a powerful tool for detecting the recurrence of colorectal cancer, FDG uptake is not tumor specific. Herein, we report a case of a 65-year-old man who underwent emergency colectomy for perforation of colon cancer. FDG-PET/CT after surgery showed 2 tumors that were difficult to differentiate from peritoneal metastases with invasion to the spleen. Splenectomy was performed, and the histopathology revealed that the tumors in fact were abscesses. This is a clinically thought-provoking case that showed the difficulty of the differential diagnosis between early recurrence after emergent surgery of colorectal cancer and the postoperative changes.

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KW - Recurrent colorectal cancer

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False-positive local recurrences on FDG-PET/CT due to postoperative infection - A case report

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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