Detection of extrathoracic metastases by positron emission tomography in lung cancer Walter Weder, MD, Ralph A Schmid, MD, Helke Bruchhaus, MD, Sven Hillinger,

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Date of download: 6/20/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Evaluation of Benign vs Malignant Hepatic Lesions.

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Detection of extrathoracic metastases by positron emission tomography in lung cancer Walter Weder, MD, Ralph A Schmid, MD, Helke Bruchhaus, MD, Sven Hillinger, MD, Gustav K von Schulthess, MD, Hans C Steinert, MD The Annals of Thoracic Surgery Volume 66, Issue 3, Pages 886-892 (September 1998) DOI: 10.1016/S0003-4975(98)00675-4

Fig 1 (A) A 73-year-old patient with squamous cell carcinoma. The 2-[18F]fluoro-2-deoxy-d-glucose positron emission tomography scan on sagittal view demonstrates the metastasis as an enhancement dorsal of the first lumbar vertebra. (B) Corresponding skeletal scintigraphy. An enhancement is noted on the right side but with the characteristics of degenerative alterations. The metastasis can not be detected. (C) Corresponding computed tomography scan of the first lumbar vertebra, performed after positron emission tomography demonstrated a metastasis in the base of the right processus spinosus. The metastasis was confirmed histologically. The Annals of Thoracic Surgery 1998 66, 886-892DOI: (10.1016/S0003-4975(98)00675-4)

Fig 1 (A) A 73-year-old patient with squamous cell carcinoma. The 2-[18F]fluoro-2-deoxy-d-glucose positron emission tomography scan on sagittal view demonstrates the metastasis as an enhancement dorsal of the first lumbar vertebra. (B) Corresponding skeletal scintigraphy. An enhancement is noted on the right side but with the characteristics of degenerative alterations. The metastasis can not be detected. (C) Corresponding computed tomography scan of the first lumbar vertebra, performed after positron emission tomography demonstrated a metastasis in the base of the right processus spinosus. The metastasis was confirmed histologically. The Annals of Thoracic Surgery 1998 66, 886-892DOI: (10.1016/S0003-4975(98)00675-4)

Fig 2 (A) A 51-year-old patient with squamous cell carcinoma. Conventional preoperative staging (chest x-ray film in two planes, chest computed tomography scan) was negative for metastatic disease. 2-[18F]fluoro-2-deoxy-d-glucose positron emission tomography shows a metastasis of the lower thoracic vertebral column. (B) Corresponding computed tomographic scan of the thoracic vertebral column. The metastasis was confirmed histologically. The Annals of Thoracic Surgery 1998 66, 886-892DOI: (10.1016/S0003-4975(98)00675-4)

Fig 3 (A) A 43-year-old patient with adenocarcinoma in the right upper lobe. 2-[18F]fluoro-2-deoxy-d-glucose positron emission tomography demonstrates a rib metastasis on the right side lateral to the liver, which was interpreted as a rib fracture in the chest x-ray film, skeletal scintigraphy, and computed tomographic scan. The coronal view shows the primary tumor and the rib metastasis. (B) Corresponding computed tomographic scan with enhancement in the rib, interpreted as rib fracture. The metastasis was confirmed histologically. The Annals of Thoracic Surgery 1998 66, 886-892DOI: (10.1016/S0003-4975(98)00675-4)

Fig 4 A 55-year-old patient with squamous cell carcinoma. The positron emission tomography imaging (coronal view) shows detection of a retroclavicular metastasis. The diagnosis was confirmed histologically. Physiologic enhancement of 2-[18F]fluoro-2-deoxy-d-glucose uptake in brain and myocardium is observed. The Annals of Thoracic Surgery 1998 66, 886-892DOI: (10.1016/S0003-4975(98)00675-4)