Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Granuloma Resulting from the Cervical Metallic Plate, Masquerading as Posterior Pharyngeal Wall Cancer

하인두 후벽암으로 오인된 경추 내고정 금속판 삽입 후 발생한 육아종 1예

  • Kim, Seung-Woo (Department of Otolaryngology-Head and Neck Surgery, Seoul Veterans Hospital) ;
  • Kim, Young-Bae (Department of Orthopedic Surgery, Seoul Veterans Hospital) ;
  • Sah, Dae-Jin (Department of Otolaryngology-Head and Neck Surgery, Seoul Veterans Hospital)
  • 김승우 (서울보훈병원 이비인후과) ;
  • 김영배 (서울보훈병원 정형외과) ;
  • 사대진 (서울보훈병원 이비인후과)
  • Received : 2011.08.21
  • Accepted : 2011.10.11
  • Published : 2011.11.25
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Abstract

The anterior approach to the cervical spine surgery is associated with possible complications such as dysphagia, hoarseness and granuloma formation etc. Because of orthopedic metallic plates, the increasing or focal uptake pattern may be demonstrated in $^{18}F$-FDG PET/CT scan. A 67-year-old-man came to our department, complained of dysphagia during the 4 months. He underwent cervical spine surgery three years ago. The CT and MRI findings mimicked typical posterior pharyngeal wall cancer with cervical metastasis. Furthermore, the SUV in $^{18}F$-FDG PET/CT was 10.3. But he was finally diagnosed as a granuloma resulting from the metallic cervical implants. The clinical correlation and medical history should be taken into account to avoid false-positive findings in PET/CT and to avoid many erroneous diagnostic pathways.

Keywords

References

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