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CASE REPORT
Year : 2017  |  Volume : 32  |  Issue : 2  |  Page : 118-121

Metastatic brachial plexopathy with brain and spinal metastasis in a case of recurrent breast carcinoma demonstrated on 18F-FDG PET/CT


1 Nuclear Medicine Physician, Infocus Diagnostics, Ahmedabad, Gujarat, India
2 Radiologist, Infocus Diagnostics, Ahmedabad, Gujarat, India

Correspondence Address:
Dr. Sunny J Gandhi
Infocus Diagnostics, Swastik Society, Opp. Vipul Dudhiya, Navrangpura, Ahmedabad
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-3919.202252

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We report a case of a 56-year-old woman diagnosed with infiltrating ductal carcinoma of the left breast, who had undergone left modified radical mastectomy followed by radiotherapy and adjuvant chemotherapy. FDG PET-CT showed metastatic brachial plexopathy with intra-spinal and extra-axial brain metastasis. Metastatic brachial plexopathy along with brain and spinal metastasis is a rare condition with very less incidence. The scan also showed left para-sternal anterior chest wall recurrence with antero-superior mediastinal metastasis.18FDG-PET scanning is a useful tool in evaluation of patients with suspected metastatic plexopathy. It may also be useful in distinguishing between radiation-induced and metastatic plexopathy. Typical pattern of FDG uptake and dual time point imaging may increase specificity and require further evaluation.


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