Detection of tumour thrombus by 18F-FDG-PET/CT imaging
Peter P. LaiInstitute of Nuclear Medicine, University College London Hospitals NHS Trust, London, UKJamshed BomanjiInstitute of Nuclear MedicineShahid MahmoodDepartment of Nuclear Medicine, Mount Elizabeth Hospital, Singapore, Republic of SingaporeN. NagabhushanInstitute of Nuclear MedicineSyed RizwanInstitute of Nuclear MedicineSveto GacinovicInstitute of Nuclear MedicineSiow Ming LeeDepartment of Oncology, University College London Hospitals NHS Trust, London, UKPeter J. EllInstitute of Nuclear Medicine
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Tumour thrombus is a rare complication of many solid cancers including renal cell carcinoma, Wilms' tumour, testicular tumour, adrenal cortical carcinoma, lymphoma, pancreatic cancer, osteosarcoma and Ewing's sarcoma. We describe six patients who harboured occult tumour thrombus detected by fluorine-18 fluorodeoxyglucose (F-FDG) positron emission tomography (PET)/X-ray computerized tomography (CT) imaging as part of the staging investigations. Recognition of this rare complication by PET/CT can change the management plan and prevent unnecessary long-term anti-coagulation treatment because of wrong diagnosis of cancer-related venous thrombus.
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