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Peritoneal recurrence of colon cancer detected by positron emission tomography: Report of a case
Authors:Seiei Yasuda  Hiroyasu Makuuchi  Sotaro Sadahiro  Masaya Mukai  Hideki Ishida  Nobuhiro Tokunaga  Tomihiko Kimura  Tomoo Tajima  Akira Shohtsu
Institution:(1) Department of Surgery, Tokai University School of Medicine, Isehara, 259-1193 Kanagawa, Japan;(2) HIMEDIC Imaging Center at Lake Yamanaka, Hirano, Minamitsuru-gun, 401-0502 Yamanashi, Japan
Abstract:Increased glucose metabolism has been reported to occur in association with colorectal cancer. As positron emission tomography (PET) using 18F]fluorodeoxyglucose is able to depict hypermetabolic sites, it can therefore be used to detect colorectal cancer. A 69-year-old male patient with a recurrent solitary liver metastasis from colon cancer underwent whole-body PET which revealed high 18F]fluorodeoxyglucose uptake in the lesion. Furthermore, PET revealed peritoneal metastases that had not been detected by conventional imaging methods. Consequently, PET proved useful in helping us to avoid performing unnecessary treatment for the liver metastasis. Although it is uncertain whether early identification of recurrence can prolong survival, it may help to prevent unnecessary treatments being carried out. Thus, the application of PET in carefully selected patients could be beneficial to the management of recurrent colorectal cancer.
Keywords:colon cancer  peritoneal recurrence  positron emission tomography  [18F]fluorodeoxyglucose
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