Necrotising Granuloma

A PET-CT dilemma

Izwan Ismail, Nur Ayub Mohd Ali, Hamzaini Abdul Hamid, Mohd Ramzisham Abdul Rahman

Research output: Contribution to journalArticle

Abstract

Metabolic imaging with Fluorodeoxyglucose (FDG)-positron emission tomography (PET)-CT scan has been shown to be more effective than the conventional computed tomography (CT) scan in differentiating benign and malignant focal lesion. However, false positive findings of FDG-PET-CT should always be considered in a patient with an increased FDG uptake lesion as it is not a tumour specific agent and its' uptake can be seen both physiologically in healthy tissue and in benign diseases. Hence, it become a challenge for a nuclear medicine physician in interpreting the FDG-PET-CT result and a dilemma for a surgeon in considering the best treatment modality for a patient. We report a case of necrotising granuloma of pectoralis minor muscle which was initially suspected a metastatic lesion of left parapharyngeal squamous cell carcinoma (SCC) via FDG-PET-CT scan and discuss the factors causing the false positive findings.

Original languageEnglish
Pages (from-to)92-94
Number of pages3
JournalSurgical Chronicles
Volume22
Issue number2
Publication statusPublished - 1 Apr 2017

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Granuloma
Pectoralis Muscles
Nuclear Medicine
Squamous Cell Carcinoma
Tomography
Physicians
Positron Emission Tomography Computed Tomography
Neoplasms
Therapeutics

Keywords

  • Computed tomography (CT)
  • Fluorodeoxyglucose (FDG)
  • Necrotising granuloma
  • Positron emission tomography (PET)

ASJC Scopus subject areas

  • Surgery

Cite this

Necrotising Granuloma : A PET-CT dilemma. / Ismail, Izwan; Ali, Nur Ayub Mohd; Abdul Hamid, Hamzaini; Abdul Rahman, Mohd Ramzisham.

In: Surgical Chronicles, Vol. 22, No. 2, 01.04.2017, p. 92-94.

Research output: Contribution to journalArticle

Ismail, Izwan ; Ali, Nur Ayub Mohd ; Abdul Hamid, Hamzaini ; Abdul Rahman, Mohd Ramzisham. / Necrotising Granuloma : A PET-CT dilemma. In: Surgical Chronicles. 2017 ; Vol. 22, No. 2. pp. 92-94.
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