核子醫學科陳明宗醫師財團法人新光吳火獅紀念醫院 2002.11.23 Bizarre Location of colorectal Cancer.

Slides:

Advertisements

Similar presentations

Yasir Rudha, MD; Amr Aref, MD; Paul Chuba, MD; Kevin O’Brien, MD

Advertisements

Clinical Significance of Preoperative 18F-FDG PET Non- Avidity in Papillary Thyroid Carcinoma Do Hoon Koo 1, Ho-Young Lee 2, Kyu Eun Lee 3,4, So Won Oh.

62 years old man Main complaint: Back pain at night but not during the day Loss of appettite Weight loss.

Total Lesion Glycolysis by 18 F-FDG PET/CT a Reliable Predictor of Prognosis in Soft Tissue Sarcoma Ilkyu Han Musculoskeletal Tumor Center, Seoul National.

JHSGR 16 th April 2011 Dr Lee Man Kit Derek.  The value of PET in staging adenocarcinoma (e.g. colorectal cancer) is well established Tomoharu T. et.

Application of Positron Emission Tomography ( PET ) in Colorectal Cancer Dr Chan Wai Keung Department of Surgery Ruttonjee and Tang Shiu Kin Hospitals.

Colorectal Cancer.

© Copyright 2003 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved. PET in Breast Cancer Early detection of disease Precise Staging.

General Medicine Subspecialty Conference Colon Cancer Screening General Medicine Subspecialty Conference Colon Cancer Screening Selim Krim, MD Assistant.

Update on 18 F-Fluorodeoxyglucose/Positron Emission Tomography and Positron Emission Tomography/ Computed Tomography Imaging of Squamous Head and Neck.

© Copyright 2003 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved. PET in Colorectal Cancer Early detection of disease Precise Staging.

SWISS TUMOR BOARD Lung Cancer March 26, 2009 Novotel Bern Prof. Dr. Mahmut Ozsahin Lausanne University Medical Center (CHUV), Lausanne.

Imaging Metastatic Rectal Cancer Jack Temple, MS3 June 2013 Christian Malalis, MD.

T4 Colon Cancer and Laparoscopic Approach Gustavo Plasencia MD FACS, FASCRS Clinical Professor of Surgery Gustavo Plasencia MD FACS, FASCRS Clinical Professor.

Dan Spratt, MD Department of Radiation Oncology Neuroendocrine Prostate Cancer: FDG-PET and Targeted Molecular Imaging.

PET in Colorectal Cancer. Indications for FDG PET Rising marker, (-) CT/MRI Nonspecific findings on CT/MRI, recurrence or post treatment changes? Known.

1 CAP Audio Conference on the CMS 2009 Physician Quality Reporting Initiative Jonathan Myles, MD, FCAP College of American Pathologists December 17, 2008.

11th Biennial Meeting of the International Gynecologic Cancer Society 11th Biennial Meeting of the International Gynecologic Cancer Society Semih Gorgulu,

Early detection of an endometrial cancer on health screening by PET/CT Nan-Jing Peng, MD Department Nuclear Medicine.

TEMPLATE DESIGN © Endometrial large cell neuroendocrine carcinoma ： a case report Reina Sato, Aiko Kawano, Hiroyuki Shigeta.

基隆長庚醫院食道癌治療小組年度報告 2009/10/02. 食道癌治療小組成員胸腔外科 : 劉會平胸腔外科 : 陳子平放射腫瘤科 : 蔡介生放射腫瘤科 : 陳彥超放射診斷科 : 陳肇長核子醫學科 : 詹勝傑病理科 : 黃成正胃腸肝膽科 : 胡瀞之血液腫瘤科 : 王正旭血液腫瘤科.

Incidentally find an adrenal tumor on health screening by FDG-PET/CT Nan-Jing Peng, MD Department Nuclear Medicine.

JESÚS SILVA-RODRÍGUEZ, PABLO AGUIAR, INÉS DOMÍNGUEZ-PRADO, MICHEL HERRANZ, ÁLVARO RUIBAL 18F-Choline: Is shine-through effect an issue for prostate SUV.

간담도 암에서의 PET 의 활용 핵의학과 홍일기. 18 F-FDG PET: Warburg effect.

The Malignant Polyp Handout Version Hans Elzinga, MD Program Director- Advanced Procedures in Family Medicine Fellowship Salud Family Health Center-Longmont,

Date of download: 6/27/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Diagnostic Accuracy of Colorectal Cancer Staging.

CLINICAL ASPECT OF GRADING AND STAGING Hanggoro Tri Rinonce, MD, PhD Department of Anatomical Pathology Faculty of Medicine, Gadjah Mada University.

Case. Kreem is 53 year old man who is quite healthy with no previous illness. He has noticed changes in his bowel habits for the last few months, with.

Date of download: 7/11/2016 From: Estimating Overdiagnosis in Low-Dose Computed Tomography Screening for Lung Cancer: A Cohort Study Ann Intern Med. 2012;157(11):

Fig. 9. Warthin's tumor, a 72-year-old man with supraglottic cancer. A

Zehra Nihal Dolgun, Ahmet Salih Altintas, Cihan Inan, Petek Balkanli

FDG PET-CT of Genitourinary and Gynecologic Tumors: Overcoming the Challenges of Evaluating the Abdomen and Pelvis Leslie K. Lee, MD, Aoife Kilcoyne,

Assessing neoadjuvant chemotherapy (NAC) response in patients with breast cancer using PEM and DCE-MRI: Pilot data Kirti Kulkarni MD, Daniel Appelbaum.

Michael Lin, Jenn Hian Koo, David Abi–Hanna

FDG PET-CT Aids in the Preoperative Assessment of Patients with Newly Diagnosed Thymic Epithelial Malignancies Marcelo F.K. Benveniste, MD, Cesar A.

Case presented by Dr Moriarty

Scott J. Adams, MD, Rajan Rakheja, MD, Rhonda Bryce, MD, Paul S

Mediastinal lymph node staging of non-small-cell lung cancer: A prospective comparison of computed tomography and positron emission tomography Walter.

The Comparison of Computed Tomography Perfusion, Contrast-Enhanced Computed Tomography and Positron-Emission Tomography/Computed Tomography for the Detection.

Laparoscopic right hemicolectomy for A-colon cancer with midgut malrotation 中國醫學大學附設醫院大腸直腸外科謝明皓國軍台中總醫院大腸直腸外科巫旻憲岳德政.

Diffusion-weighted magnetic resonance imaging in preoperative assessment of non– small cell lung cancer Hiroaki Nomori, MD, Yue Cong, MD, Masaru Abe,

Standard Uptake Value Predicts Survival in Non–Small Cell Lung Cancer

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

Incidental finding of a nodular lesion in the right upper lobe

Otolaryngology referred this patient for imaging after palpating a mass in the “left parotid tail.” Axial contrast-enhanced CT scan through the mass reveals.

Resection of Mucinous Lung Adenocarcinoma Presenting with Intractable Bronchorrhea Motoshi Takao, MD, PhD, Takehiro Takagi, MD, Hitoshi Suzuki, MD, PhD,

The size of metastatic foci and lymph nodes yielding false-negative and false-positive lymph node staging with positron emission tomography in patients.

Unexpected Small Bowel Intussusception Caused by Lung Cancer Metastasis on 18F- Fluorodeoxyglucose PET-CT Jeong Won Lee, MD, Seok-Ki Kim, MD, Ji Won Park,

Tumor-to-Tumor Metastasis: Maxillary Sinus Adenoid Cystic Carcinoma Metastasizing to Double Primary Lung Adenocarcinoma Wei-Yang Lin, MD, Wen-Hu Hsu,

Positron emission tomographic imaging with fluorodeoxyglucose is efficacious in evaluating malignant pulmonary disease Geoffrey M. Graeber, MD*, Naresh.

Utility of Routine PET Imaging to Predict Response and Survival After Induction Therapy for Non-Small Cell Lung Cancer Stephen A. Barnett, MBBS, Robert.

Thymic and Mediastinal Lymph Node Metastasis of Colon Cancer

The role of positron emission tomography for non-small cell lung cancer Albert J. Chang, MD, PhD, Farrokh Dehdashti, MD, Jeffrey D. Bradley, MD Practical.

Practical radiology of the small and large intestine

台北醫學大學附設醫院外科部陳威智大腸直腸外科陳嘉哲郭立人

Axillary Mass and Hypercalcemia: The Value of a Physical Examination

Multiple (type 3) cyst-related primary lung malignancies presenting as cystic airspaces with asymmetrical or circumferential wall thickening. a, b) A 52-year-old.

Beware of the “Bronchocele,” Particularly in Patients with a History or Risk Factors for a Mucinous Carcinoma: A Response to the Article “Resection of.

Positron emission tomography/computed tomography scans showed a mass lesion. a) Areas of cavitation were noted in the left lower lobe, encasing the segmental.

Evaluation of fluorine-18-fluorodeoxyglucose whole body positron emission tomography imaging in the staging of lung cancer Catherine A.B Saunders, Julian.

Positron emission tomography predicts survival in malignant pleural mesothelioma Raja M. Flores, MD, Timothy Akhurst, MD, Mithat Gonen, PhD, Maureen Zakowski,

A) Positron emission tomography scan showing 18F-fluorodeoxyglucose uptake in the right supraclavicular, hilar and mediastinal lymph nodes and in the left.

Sequential Mediastinal Lymphadenectomy of an Unknown Primary Tumor

CT (left of images) showing calcified areas and PET (right of images) scans showing increased FDG-PET metabolic activity in the mediastinal mass (A) and.

MPGES is expressed in epithelial cells in benign and malignant tumors of the colon. mPGES is expressed in epithelial cells in benign and malignant tumors.

Lack of FDG Uptake in Small Cell Carcinoma Associated with ANNA-1 Positive Paraneoplastic Autonomic Neuropathy Matthew S. Block, MD, PhD, Robert Vassallo,

Patterns-of-Care for Thoracic Stereotactic Body Radiotherapy among Practicing Radiation Oncologists in the United States Megan E. Daly, MD, Julian R.

Evaluation of lymph node metastases in squamous cell carcinoma of the esophagus with positron emission tomography Kwhanmien Kim, MD, Seung Joon Park,

Figure 12a Pitfalls in N staging at CT and PET

Survival of Patients With Unsuspected pN2 Non-Small Cell Lung Cancer After an Accurate Preoperative Mediastinal Staging Carme Obiols, MD, Sergi Call,

Presentation transcript:

核子醫學科陳明宗醫師財團法人新光吳火獅紀念醫院 Bizarre Location of colorectal Cancer

A 59-year-old man with non-specific medical history except tinnitus and vertigo. He came to our PET center for a health examination and a hot spot of increased FDG uptake was noted at RUQ of the abdomen. Under the impression of colon cancer he received colonoscopy and lower GI double contrast series for comparison. Brief history

FDG-PET image on Nov/14/2001

Lower GI double Contrast series on Nov/16/2001

PET Lower GI double contrast series

The RUQ lesion was thought to be a ascending colon tumor in the PET images. However, colonoscopy performed next day revealed a sigmoid colon cancer measured 2cm in size at 25cm level. Our surgeon thought that there were 2 primary colon cancer in different locations. Under this confusing situation, LGI double contrast series was performed and the result proved that there was only one tumor located in redundant sigmoid colon. Surgery was performed 3 days after LGI series. The pathology report proved that this tumor was adenocarcinoma of Dukes ’ B2 without any lymph node metastasis.

Teaching point We have to keep in mind that the precise location of GI tract can vary in different individuals. Rare situation does exist and our physicians must judge these images very carefully. If there is any different result between different examinations, other examination should be performed to do an accurate diagnosis.

Reference 1.Gupta NC, Falk PM, Frank AL. et al. Pre-operative staging of colorectal carcinoma using positron emission tomography. Nebr Med J 1993;78: Akhurst T, Larson SM. Positron emission tomography imaging of colorectal cancer. Semin Oncol 1999;26(5):