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Epithelioid Hemangioma of Vertebra Mimicking Metastasis on FDG PET/CT in a Patient With Renal Cell Cancer

Authors
  • Yanagisawa, Fumi1
  • Amano, Yasuo1
  • Omori, Yuko1
  • Takagi, Ryo
  • Tang, Xiaoyan2
  • 1 Departments of Radiology
  • 2 Pathology, Nihon University Hospital, Tokyo, Japan.
Type
Published Article
Journal
Clinical Nuclear Medicine
Publisher
Lippincott Williams & Wilkins
Publication Date
Dec 14, 2020
Volume
46
Issue
2
Pages
148–150
Identifiers
DOI: 10.1097/RLU.0000000000003428
PMID: 33315666
PMCID: PMC7774811
Source
PubMed Central
Keywords
License
Green

Abstract

Vertebral epithelioid hemangioma is a rare vascular tumor composed of the many vessels lined by distinct epithelioid endothelial cells. We present the case of a patient with renal cell cancer (RCC) and suspicious vertebral metastasis presenting with back pain, who was later found to have epithelioid hemangioma. FDG PET/CT demonstrated uptake of FDG not only in RCC, but also in the sixth thoracic vertebral body. The SUVmax of the vertebra was more than twice as high as RCC. This report indicates importance of quantitative assessment of FDG uptake, as well as combined use of MRI.

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