Ces radiol. 2013, 67(1):59-61

Accidental colon carcinoma finding on follow-up PET-CT with 18F-FDG in a woman with positive history carcinoma corporis uteriOriginal article

Jiří Doležal1, Eva Plodrová2, Jaroslav Vižďa1
1 Oddělení nukleární medicíny FN a LF UK, Hradec Králové
2 Radiologická klinika FN a LF UK, Hradec Králové

Aim: To present a rare case report of the accidental colon carcinoma finding on 18F-FDG PET-CT in a 47-year-old woman with positive history carcinoma corporis uteri after treatment.

Method: The patient underwent PET-CT with 18F-FDG for a small hypoechogenic lesion by follow-up abdomen ultrasound in a liver near gallbladder bed. The whole body PET-CT was obtained 60 minutes after intravenous injection of 18F-FDG (392 MBq - 5 MBq/kg). The PET scan acquisition time was 2.5 minutes per bed position. Contrast-enhanced CT (venous phase) provided both full CT evaluation (including intravenous and oral contrast) and PET attenuation correction.

Results: The examination revealed 18F-FDG PET-CT positive, accidental tumour in the lienal flexure of the colon without regional or distant metastases and normal liver finding. The subsequent coloscopy and biopsy was performed and exulcerated colon carcinoma was proven by histopathology. The patient underwent hemicolectomy and tumour was removed.

Conclusion: PET-CT led to detection of the colon carcinoma in the early stage and subsequent successful surgery treatment and radically changed the patient prognosis and improved patient's management.

Keywords: cancer, colon, PET-CT, accidental finding

Accepted: November 20, 2012; Published: March 1, 2013  Show citation

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Doležal J, Plodrová E, Vižďa J. Accidental colon carcinoma finding on follow-up PET-CT with 18F-FDG in a woman with positive history carcinoma corporis uteri. Ces radiol. 2013;67(1):59-61.
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