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Usefulness of F-18 FDG-PET in a long-term hemodialysis patient with renal cell carcinoma and pheochromocytoma
Authors:Nozomi Ozawa  Terue Okamura  Koichi Koyama  Yoshimasa Hamazawa  Hideto Senzaki  Shigeru Tanabe  Shinichi Ikemoto  Yuichi Inoue
Affiliation:(1) PET Center, Saiseikai Nakatsu Hospital, 2-10-39 Shibata Kita-ku, Osaka 530-0012, Japan;(2) Department of Radiology, Osaka City University Medical School, Osaka, Japan;(3) Department of Pathology, Saiseikai Nakatsu Hospital, Osaka, Japan;(4) Department of Urology, Shirasagi Hospital, Osaka, Japan;(5) Department of Urology, Yao Municipal Hospital, Osaka, Japan
Abstract:A patient who had been on long-term hemodialysis (HD) was diagnosed as having renal cell carcinoma (RCC) and pheochromocytoma. Abdominal computed tomography scanning demonstrated a right renal mass and a right adrenal mass, whereas positron emission tomography (PET) using F-18 fluorodeoxyglucose (FDG) revealed increased accumulation in both the renal and adrenal masses. FDG-PET is useful for detecting RCC in HD patients because FDG is not excreted in the urine, but it is difficult to distinguish pheochromocytoma from an adrenal metastasis by this imaging method.
Keywords:FDG-PET  Renal cell carcinoma  Pheochromocytoma
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