Nucl Med Mol Imaging.  2020 Oct;54(5):261-263. 10.1007/s13139-020-00655-6.

Real Time F-18 FDG PET-CT-Guided Metabolic Biopsy Targeting Differential FDG Avidity in a Pulmonary Blastoma

Affiliations
  • 1Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, India
  • 2Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

Abstract

Pulmonary blastoma (PB) is a rare thoracic malignancy and preoperative diagnosis is challenging. A young man presented with dyspnea and chest pain for 3–4 months and chest-computed tomography (CT) revealed large mass in the left lung upper lobe and pleural effusion. Repeated CT-guided fine-needle aspiration cytology from the lesion and pleural fluid aspiration was negative for malignancy. F-18-fluorodeoxyglucose positron emission tomography-computed tomography (FDG PET-CT) revealed heterogeneous tracer avidity in left lung mass with areas of necrosis. Real-time PET-CT-guided biopsy from metabolically active component of the lesion revealed biphasic PB on histopathology.

Keyword

Pulmonary blastoma; F-18 FDG PET-CT; PET-guided biopsy
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