Progressing Sclerosing Mesenteritis (Mesenteric Panniculitis) Mimics Progression of Malignancy After Neoadjuvant Chemotherapy for Gastric Adenocarcinoma on Serial 18F-FDG PET/CT

被引：6
作者：
Makis, William [1 ]
机构：
[1] Cross Canc Inst, Dept Diagnost Imaging, 11560 Univ Ave NW, Edmonton, AB T6G 1Z2, Canada
来源：
CLINICAL NUCLEAR MEDICINE | 2016年 / 41卷 / 04期
关键词：
F-18-FDG; mesenteric panniculitis; PET/CT; sclerosing mesenteritis; ECX chemotherapy; CT;
D O I：
10.1097/RLU.0000000000000965
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
A 62-year-old man was diagnosed with a moderately differentiated gastric adenocarcinoma in the proximal stomach. A staging F-18-FDG PET/CT showed an intensely FDG-avid gastric mass, as well as a mildly FDG-avid misty nodular mesentery. After 3 cycles of neoadjuvant chemotherapy, a follow-up PET/CT showed partial response of the gastric primary, with increase in the size of nodules in the mesentery and increased FDG uptake, raising concern of secondary malignancy. Biopsy of the mesentery revealed xanthogranulomatous inflammation, consistent with sclerosing mesenteritis.
引用
收藏
页码：313 / 316
页数：4
相关论文
共 11 条
  • [1] Sclerosing mesenteritis: Clinical features, treatment, and outcome in ninety-two patients
    Akram, Salma
    Pardi, Darrell S.
    Schaffner, John A.
    Smyrk, Thomas C.
    [J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2007, 5 (05) : 589 - 596
  • [2] Multidetector-row computed tomography findings of sclerosing mesenteritis with associated diseases and its prevalence
    Canyigit, Murat
    Koksal, Ali
    Akgoz, Ayca
    Kara, Taylan
    Sarisahin, Murat
    Akhan, Okan
    [J]. JAPANESE JOURNAL OF RADIOLOGY, 2011, 29 (07) : 495 - 502
  • [3] Ehrenpreis Eli D, 2009, Case Rep Gastroenterol, V3, P131
  • [4] Mesenteric panniculitis: Various presentations and treatment regimens
    Issa, Iyad
    Baydoun, Hassan
    [J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2009, 15 (30) : 3827 - 3830
  • [5] Sclerosing mesenteritis, a rare cause of a retroperitoneal tumor
    Kornprat, Peter
    Liegl-Atzwanger, Bernadette
    Portugaller, Horst
    Bernhardt, Gerwin A.
    Mischinger, Hans-Joerg
    [J]. WIENER KLINISCHE WOCHENSCHRIFT, 2010, 122 (5-6) : 179 - 183
  • [6] FDG-PET/CT assessment of misty mesentery: Feasibility for distinguishing viable mesenteric malignancy from stable conditions
    Nakatani, Koya
    Nakamoto, Yuji
    Togashi, Kaori
    [J]. EUROPEAN JOURNAL OF RADIOLOGY, 2013, 82 (08) : E380 - E385
  • [7] F-18 FDG PET demonstration of sclerosing mesenteritis
    Nguyen, BD
    [J]. CLINICAL NUCLEAR MEDICINE, 2003, 28 (08) : 670 - 671
  • [8] PET-CT of mesenteric panniculitis: A potential confounder of lymphoma
    Sideras, Panagiotis A.
    Patil, Vivek
    Li, Zhonghua
    Heiba, Sherif
    Kostakoglou, Lale
    [J]. RADIOGRAPHY, 2015, 21 (01) : E51 - E53
  • [9] Vlachos Konstantinos, 2011, Int Arch Med, V4, P17, DOI 10.1186/1755-7682-4-17
  • [10] Mesenteric Panniculitis: A Paraneoplastic Phenomenon?
    Wilkes, Anna
    Griffin, Nick
    Dixon, Liane
    Dobbs, Bruce
    Frizelle, Frank A.
    [J]. DISEASES OF THE COLON & RECTUM, 2012, 55 (07) : 806 - 809
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