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Inicio Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) 18F-FDG PET/CT versus bone scintigraphy in the follow-up of gastric cancer
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Vol. 35. Issue 2.
Pages 121-123 (March - April 2016)
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Vol. 35. Issue 2.
Pages 121-123 (March - April 2016)
Clinical note
18F-FDG PET/CT versus bone scintigraphy in the follow-up of gastric cancer
18F-FDG PET/TC en comparación con la gammagrafía ósea en el seguimento del cancer gástrico
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M. Sollinia,
Corresponding author
, L. Calabresea, B. Zangheria, P.A. Erbab, A. Gramagliac, M. Gasparinia
a Nuclear Medicine Unit, IRCCS MultiMedica, Via Milanese 300, 20099 Sesto San Giovanni (MI), Italy
b Regional Center of Nuclear Medicine, University of Pisa, Via Savi 10, 56125 Pisa, Italy
c Radiation Oncology Unit, Policlinico di Monza, Via Amati 111, 20900 Monza, Italy
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Abstract

A 53-year-old patient underwent a positron emission tomography/computed tomography with 2-fluoro-2-deoxy-d-glucose (18F-FDG PET/CT) in the suspicious of gastric tumor recurrence (mediastinal and abdominal lymph nodes). PET/CT identified only an area of 18F-FDGuptake in the twelfth thoracic vertebrae. Unexpectedly, a bone scintigraphy revealed many “hot” spots changing the diagnosis (single metastasis versus plurimetastatic disease) and impacting on patient's management.

Keywords:
Gastric cancer
2-Deoxy-2-(18F)fluoro-d-glucose positron emission tomography/computed tomography
Bone scintigraphy
Resumen

Un paciente de 53 años fue sometido a una tomografía por emisión de positrones-tomografía computarizada con 18F-2-fluoro-2 deoxi-d-glucosa (18F-FDG PET/TC) ante la sospecha de recidiva de cáncer de estómago (nódulos linfáticos en mediastino y abdomen). El PET/TC identificó únicamente una zona de captación de 18F-FDG en la duodécima vértebra torácica. Sorpresivamente, la gammagrafía ósea reveló muchas imágenes hipercaptantes que modificaron el diagnóstico (metástasis única en lugar de metástasis múltiples) con el consiguiente impacto en el tratamiento del paciente.

Palabras clave:
Cáncer de estómago
Tomografía por emisión de positrones-tomografía computarizada con 18F-2-fluoro-2 deoxi-d-glucosa
Gammagrafía ósea

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