Detection of an Asymptomatic Right-Ventricle Cardiac Metastasis from a Small-Cell Lung Cancer by F-18-FDG PET/CT

被引:31
作者
Orcurto, Maria Victoria [1 ]
Delaloye, Angelika Bischof [1 ]
Letovanec, Igor [2 ]
Favre, Martina Martins [3 ]
Prior, John O. [1 ]
机构
[1] CHU Vaudois, Dept Nucl Med, CH-1011 Lausanne, Switzerland
[2] CHU Vaudois, Dept Pathol, CH-1011 Lausanne, Switzerland
[3] CHU Vaudois, Dept Radiol, CH-1011 Lausanne, Switzerland
关键词
Small-cell lung cancer; Cardiac metastasis; Positron emission computed tomography; PET; (18)F-FDG; TUMORS; HEART; DIAGNOSIS;
D O I
10.1097/JTO.0b013e318189f60e
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A right heart metastasis of a small-cell lung cancer was found on the whole-body (18)F-fluoro-deoxy-glucose positron emission tomography/computed tomography ((18)F-FDG-PET/CT) of a 69-year-old smoker investigated for a right pulmonary mass discovered on chest radiography after a fracture of the right humerus. The PET scan showed all increased FDG uptake by the mass in the right lung and all intense, atypical focal activity of the right ventricle strongly suggestive of a neoplastic process. CT-guided lung biopsy revealed a small-cell lung cancer and myocardial biopsy confirmed the presence of a cardiac metastasis. The patient was treated with six cycles of chemotherapy followed by radiation therapy, which included the heart lesion. At follow-Lip PET/CT 2 months after the end of treatment, the abnormal cardiac uptake had disappeared, whereas increased FDG uptake persisted ill the Pulmonary residual mass.
引用
收藏
页码:127 / 130
页数:4
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