Indian Journal of Nuclear Medicine
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CASE REPORT
Year : 2018  |  Volume : 33  |  Issue : 3  |  Page : 239-241

Fluorodeoxyglucose-positive splenic infarctions are completely regressive just after 4 months


1 Department of Nuclear Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany
2 Department of Radiology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Germany

Correspondence Address:
Sebastian Hoberueck
Department of Nuclear Medicine, Universitätsklinikum der TU Dresden, Fetscherstr. 74, 01307 Dresden
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.IJNM_44_18

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A 55-year-old woman with newly diagnosed hepatocellular carcinoma (HCC) was hospitalized in our department for the evaluation of selective internal radiotherapy (SIRT), which consists of an angiography, an intra-arterial technetium (Tc)-99m-macroaggregated albumin application and Tc-99m sulfur colloid scintigraphy to assess liver function. Besides the modest intratumoral tracer accumulation, F-18-fluorodeoxyglucose (FDG) positron emission tomography–computed tomography (PET/CT) imaging showed two intense focal cuneiform splenic FDG accumulations which turned out to be splenic infarctions. Four months later, both hypermetabolic foci were completely regressive in the first follow-up PET/CT after SIRT. This is the first report of a complete metabolic regression of splenic infarctions within just 4 months, whereas regression on CT is commonly seen after more than 2 years.


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