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Intramedullary Metastasis Detected With F-18 FDG-PET/CT
(Elsevıer Doyma Sl, 2012) Sarı, O.; Kaya, B.; Kara Gedik, G.; Özcan Kara, P.; Varoğlu, E.
We report F-18 FDG-PET/CT images of MRI-correlated spine metastasis from non-small cell lung cancer (NSCLC). A 50-yearold woman was admitted to hospital with shortness of breath, chest pain, back pain and hemoptysis. She had a diagnosis of nonsmall cell lung cancer by lung biopsy. F-18 FDG-PET/CT study was carried out for staging. PET/CT imaging showed a gross mass in the upper lobe of the right lung, mediastinal, right cervical and supraclavicular metastatic lymph nodes, liver metastasis and multiple bone and muscle metastasis. Also, there was an increased FDG uptake in the spine in the level of 11th thoracic vertebrae (SUVmax: 6.9). This focal lesion was an intramedullary metastasis. Correlation with MRI showed that intramedullary mass Fig. 1. A 50-year-old woman with a history of shortness of breath, chest pain, back pain and hemoptysis diagnosed as lung cancer. The patient was done PET/CT for initial imaging. PET/CT showed an increased FDG uptake in the spine at the level of 11th thoracic vertebrae (SUVmax: 6.9). This focal lesion was an intramedullary metastasis. ∗ Corresponding author. E-mail address: oktaysari@gmail.com (O. Sari). showed an heterogeneous contrast enhancement. This image was suggestive of malignant lesion (Figs. 1 and 2).