False positive F-18-FDG PET scan in adrenal oncocytoma

Acar C., Akkas B. E., Sen İ., Sozen S., Kitapci M. T.

UROLOGIA INTERNATIONALIS, vol.80, no.4, pp.444-447, 2008 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 80 Issue: 4
  • Publication Date: 2008
  • Doi Number: 10.1159/000132706
  • Journal Name: UROLOGIA INTERNATIONALIS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.444-447
  • Keywords: adrenal oncocytoma, benign adrenocortical oncocytoma, False positive F-18-FDG PET scan, F-18-FDG whole-body positron emulsion tomography, incidentalomas, COMPUTED-TOMOGRAPHY, MASSES
  • Gazi University Affiliated: Yes

Abstract

F-18- FDG whole- body positron emulsion tomography (F-18-FDG PET) has become an established imaging modality for a variety of cancers. Today, F-18- FDG PET is utilized to differentiate benign from malignant non-functioning adrenal masses. In this report, a 25-year-old woman presented with a 2-month history of left flank pain. Abdominal CT revealed a left 6.5 x 4.5 cm adrenal mass with regular margins and focal calcification. To make a differential diagnosis, F-18- FDG PET was performed. Preoperative laboratory studies showed that the mass was non-functioning. A left adrenalectomy was performed through a left subcostal incision. The final pathologic evaluation revealed adrenal oncocytoma. We present the disassociation between preoperative F-18- FDG PET and pathologic findings of a benign adrenocortical oncocytoma. Copyright (c) 2008 S. Karger AG, Basel.