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F-18 FDG Uptake in an Eosinophilic Liver Abscess Mimicking Hepatic Metastasis on PET/CT Images  

Sohn, Myung-Hee (Departments of Nuclear Medicine, Research Institute of Clinical Medicine, Chonbuk National University Medical School)
Jeong, Hwan-Jeong (Departments of Nuclear Medicine, Research Institute of Clinical Medicine, Chonbuk National University Medical School)
Lim, Seok-Tae (Departments of Nuclear Medicine, Research Institute of Clinical Medicine, Chonbuk National University Medical School)
Kim, Dong-Wook (Departments of Nuclear Medicine, Research Institute of Clinical Medicine, Chonbuk National University Medical School)
Yim, Chang-Yeol (Departments of Internal Medicine, Research Institute of Clinical Medicine, Chonbuk National University Medical School)
Publication Information
Nuclear Medicine and Molecular Imaging / v.42, no.3, 2008 , pp. 253-255 More about this Journal
Abstract
A 61-year-old man had a F-18 FDG PET/CT scan for evaluation of a common bile duct cancer identified on CT. The PET/CT image showed a hypermetabolic mass in the common bile duct, and a focal area of increased F-18 FDG uptake in segment IV of the liver, which corresponded to a hypoattenuated lesion on non-enhanced CT, and was consistent with hepatic metastasis. The patient underwent choledochojejunostomy with hepatic resection, and pathologic findings were compatible with an eosinophilic abscess in the liver. This case demonstrates that F-18 FDG uptake by an eosinophilic abscess can mimic hepatic metastasis in a patient with a malignancy.
Keywords
liver; eosinophilic abscess; metastasis; F-18 FDG; PET/CT;
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1 Hong SW, Kim HE, Park CI, Lee SI. Eosinophilic liver abscess in patients with gastric carcinoma. Korean J Pathol 1993;27:27-33
2 Kang HR, Kwon HS, Song WJ, Lee SM, Kim TB, Park HK, et al. Analysis of 54 cases of eosinophilic liver abscess-underlying diseases and clinical characteristics. Korean J Asthma, Allergy Clin Immunol 2004;24:229-35
3 Won JH, Kim MJ, Ji H, Chung JJ, Yoo HS, Lee JT, et al. Focal eosinophilic infiltration of the liver: a mimick of hepatic metastasis. Abdom Imaging 1999;24:369-72   DOI
4 Hur J, Park MS, Yu JS, Lim JS, Hong SW, Kim KW. Focal eosinophilic necrosis versus metastasis in the liver: The usefulness of two-phase dynamic CT. AJR Am J Roentgenol 2005;184:1085-90   DOI   ScienceOn
5 Lee WJ, Lim HK, Lim JH, Kim SH, Choi SH, Lee SJ. Foci of eosinophil-related necrosis in the liver: imaging findings and correlation with eosinophilia. AJR Am J Roentgenol 1999;172: 1255-61   DOI
6 Hong SW, Cho MY, Park C. Expression of eosinophil chemotactic factors in stomach cancer. Yonsei Med J 1999;40:131-6   DOI
7 Jang HJ, Lee WJ, Lee SJ, Kim SH, Lim HK, Lim JH. Focal eosinophilic necrosis of the liver in patients with underlying gastric or colorectal cancer: CT differentiation from metastasis. Korean J Radiol 2002;3:240-4   DOI
8 Yoo SY, Han JK, Kim YH, Kim TK, Choi BI, Han MC. Focal eosinophilic infiltration in the liver: radiologic findings and clinical course. Abdom Imaging 2003;28:326-32   DOI
9 Byun JH, Yang DH, Yoon SE, Won HJ, Sin YM, Jeong YY, et al. Contrast-enhancing hepatic eosinophilic abscess during the hepatic arterial phase: a mimic of hepatocellular carcinoma. AJR Am J Roentgenol 2006;186:168-73   DOI   ScienceOn
10 Weisdorf DJ, Craddock PR, Jacob HS. Glycogenolysis versus glucose transport in human granulocytes: differential activation in phagocytosis and chemotaxis. Blood 1982;60:888-93
11 Fantone JC, Ward PA. Role of oxygen-derived free radicals and metabolites in leukocyte-dependent inflammatory reactions. Am J Pathol 1982;107:395-418
12 Fauci AS, Harley JB, Roberts WC, Ferrans VJ, Gralnick HR, Bjornson BH. NIH conference. The idiopathic hypereosinophilic syndrome. Clinical, pathophysiologic, and therapeutic considerations. Ann Intern Med 1982;97:78-92   DOI   ScienceOn
13 Iwasaki K, Torisu M, Fujimura T. Malignant tumor and eosinophils. I. Prognostic significance in gastric cancer. Cancer 1986;15:1321-27
14 Jang JK, Bak SW, Choi MS, Lee JH, Ko KC, Chae KS, et al. Clinical characteristics of 19 cases of biopsy-proven eosinophilic liver abscess: single cencer experience. Korean J Gatroenterol 2001;38:37-41