Indian Journal of Nuclear Medicine
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Year : 2014  |  Volume : 29  |  Issue : 4  |  Page : 264-266

Postoperative distal ureteric and bladder cuff recurrence in a Grade I renal transitional cell carcinoma diagnosed and restaged by fluorodeoxyglucose positron emission tomography-computed tomography

1 Department of Nuclear Medicine and PET/CT, Radiation Medicine Centre, Bhabha Atomic Research Centre, Mumbai, Maharashtra, India
2 Department of Radiology, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India

Correspondence Address:
Sunita Sonavane
Room 123, First Floor, Radiation Medicine Centre, Bhabha Atomic Research Centre, Parel, Mumbai, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-3919.142640

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A 56-year-old male having Grade I transitional cell carcinoma (TCC) of left kidney, postleft nephrectomy and upper 1/3 rd ureterectomy presented with painless hematuria. Restaging fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) revealed abnormal linear FDG uptake in the lower 2/3 rd of the left ureter and in the bladder adjacent to the left vesicoureteric junction, no locoregional adenopathy nor distant metastases (Figures 1 and 2- left column). Patient underwent left lower ureterectomy with partial cystectomy. Postoperative histopathology was TCC. Instillation of Bacillus Calmette-Guιrin injection in the bladder was done postoperatively. A follow-up FDG PET/CT scan performed 3 months postoperatively was revealed no abnormal focal FDG uptake in the whole body revealing disease free status. FDG PET was helpful in diagnosing tumor recurrence in the distal remnant ureter. This case attempts to highlight the role of FDG PET/CT in follow-up, residual and recurrence evaluation.

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