Real Time F-18 FDG PET-CT-Guided Metabolic Biopsy Targeting Differential FDG Avidity in a Pulmonary Blastoma
10.1007/s13139-020-00655-6
- Author:
Tarun Kumar JAIN
1
;
Harmandeep SINGH
;
Rajender KUMAR
;
Amanjit BAL
;
Ashwani SOOD
;
Bhagwant Rai MITTAL
Author Information
1. Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
- Publication Type:INTERESTING IMAGE
- From:Nuclear Medicine and Molecular Imaging
2020;54(5):261-263
- CountryRepublic of Korea
- Language:English
-
Abstract:
Pulmonary blastoma (PB) is a rare thoracic malignancy and preoperative diagnosis is challenging. A young man presented with dyspnea and chest pain for 3–4 months and chest-computed tomography (CT) revealed large mass in the left lung upper lobe and pleural effusion. Repeated CT-guided fine-needle aspiration cytology from the lesion and pleural fluid aspiration was negative for malignancy. F-18-fluorodeoxyglucose positron emission tomography-computed tomography (FDG PET-CT) revealed heterogeneous tracer avidity in left lung mass with areas of necrosis. Real-time PET-CT-guided biopsy from metabolically active component of the lesion revealed biphasic PB on histopathology.
