Nuclear Medicine and Molecular Imaging

The Korean Society of Nuclear Medicine (대한핵의학회)
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Detection of Superior Vena Cava Tumor Thrombus by F-18 FDG PET/CT in Recurrent Hepatocellular Carcinoma

상행대정맥 종양혈전을 동반한 재발성 간세포암 환자의 F-18 FDG PET/CT소견

  • Choi, Seung-Jin (Department of Nuclear Medicine, Inha University College of Medicine) ;
  • Kim, Chul-Soo (Department of International Medicine, Inha University College of Medicine) ;
  • Byun, Sung-Su (Department of Radiology, Inha University College of Medicine) ;
  • Lee, Kyung-Hee (Department of Radiology, Inha University College of Medicine) ;
  • Hyun, In-Young (Department of Nuclear Medicine, Inha University College of Medicine)
  • 최승진 (인하대학교 의과대학 핵의학교실) ;
  • 김철수 (인하대학교 의과대학 내과학교실) ;
  • 변성수 (인하대학교 의과대학 방사선과학교실) ;
  • 이경희 (인하대학교 의과대학 방사선과학교실) ;
  • 현인영 (인하대학교 의과대학 핵의학교실)
  • Published : 2006.10.31
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Abstract

We report the case of a 64-year-old man with superior vena cava (SVC) syndrome due to tumor thrombus from recurrent hepatocellular carcinoma (HCC). He presented with new onset of facial swelling for 10 days. HCC was detected ten years ago. He has undergone repeated transcatheter arterial embolization (TAE) and chemotherapy. Chest computed tomography (CT) demonstrated tumor thrombus in the SVC extending to right atrium. He underwent whole body F-18 fluorodeoxyglucose(FDG) positron emission tomography/computed tomography (PET/CT) scanning for assessing the effect of TAE in HCC. F-18 FDG PET/CT showed increased uptake in the residual liver mass indicating viable tumor. There was another intense F-18 FDG accumulation in SUV extending to right atrium to suggest tumor thrombus. This case illustrates that F-18 FDG PET/CT is useful to identification of distant metastases as well as assessment of response to therapy in long-term survival HCC patients.

Keywords

References

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