We report here a case of a random synchronous male breast malignancy in a patient with a known base of tongue malignancy that was incidentally detected on a whole body 18-fluorine deoxyglucose positron emission tomography and computed tomography (18F-FDG PET/CT). Patient was referred to us for PET/CT staging and radiotherapy planning for a poorly differentiated squamous cell carcinoma of base of tongue. Histopathologically, the incidentally detected breast lesion was proven to be an invasive ductal carcinoma. 18F-FDG PET/CT being a whole body imaging modality is known to detect a considerable number of synchronous primaries. Synchronous malignancies in the head and neck area and the upper aerodigestive tract are well established. However, synchronous malignancy in male breast is reportedly uncommon. Our case is unique for the fact that a random synchronous dual malignancy of base of tongue and breast in a male patient was detected during a whole body 18F-FDG PET/CT imaging.
Breast Neoplasms ; Breast* ; Carcinoma, Ductal ; Carcinoma, Squamous Cell ; Deoxyglucose ; Fluorodeoxyglucose F18 ; Head ; Humans ; Male* ; Neck ; Neoplasms, Multiple Primary ; Positron-Emission Tomography ; Positron-Emission Tomography and Computed Tomography ; Radiotherapy ; Tongue ; Tongue Neoplasms ; Whole Body Imaging

18F-FDG PET/CT imaging is an established imaging modality for cancer staging and response assessment. Its role in identifying infective and inflammatory pathologies from malignancy is debated. Dual time - point imaging is a refined technique used to overcome this interpretational dilemma. We present a 59 year old male with an unknown primary malignancy who was referred for a 18F-FDG PET/CT imaging. Images revealed primary lung malignancy with co existing bilateral renal tuberculosis which otherwise would have gone amiss or would have been considered as metastases.
Fluorodeoxyglucose F18* ; Humans ; Immunocompromised Host* ; Lung ; Male ; Neoplasm Metastasis ; Neoplasm Staging ; Pathology ; Positron-Emission Tomography and Computed Tomography* ; Tuberculosis, Renal*