18F‐FDG PET/CT imaging of small intestinal metastasis from pulmonary sarcomatoid carcinoma: Brief report and review of the literature

We herein report two cases of small intestinal metastasis from pulmonary sarcomatoid carcinoma (PSC) detected by 18F‐fluorodeoxyglucose positron emission tomography/computed tomography (18F‐FDG PET/CT). We reviewed the literature on 18F‐FDG PET/CT features in gastrointestinal metastasis of PSC patie...

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Main Authors: Xinli Xie, Ning Tu, Qi Wang, Zhen Cheng, Xingmin Han, Lihong Bu
Format: Article
Language:English
Published: Wiley 2020-08-01
Series:Thoracic Cancer
Subjects:
Online Access:https://doi.org/10.1111/1759-7714.13468
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author Xinli Xie
Ning Tu
Qi Wang
Zhen Cheng
Xingmin Han
Lihong Bu
author_facet Xinli Xie
Ning Tu
Qi Wang
Zhen Cheng
Xingmin Han
Lihong Bu
author_sort Xinli Xie
collection DOAJ
description We herein report two cases of small intestinal metastasis from pulmonary sarcomatoid carcinoma (PSC) detected by 18F‐fluorodeoxyglucose positron emission tomography/computed tomography (18F‐FDG PET/CT). We reviewed the literature on 18F‐FDG PET/CT features in gastrointestinal metastasis of PSC patients since 1992, and further analyzed the imaging features. According to the literature review, 23 eligible cases were identified from eight studies, and no cases underwent 18F‐FDG PET/CT imaging. In this study, clinical and PET/CT imaging data of two patients are reported. In our cases, clinical and the CT images of lung masses were not typical, but the uptake of 18F‐FDG was remarkably high, with SUVmax exceeding 30. Small intestinal metastases may not be related to obstruction, or even the local intestinal cavity may be dilated. Therefore, in PSC patients with mild or without abdominal symptoms, 18F‐FDG PET/CT imaging could identify intestinal metastasis at a relatively early stage and may be used to determine the preferred biopsy site, or early intervention by surgery. Key points 18F‐FDG PET/CT imaging of small intestinal metastasis of PSC has not been previously reported in the literature and here we report the 18F‐FDG PET/CT features of two cases. The uptake of 18F‐FDG was remarkably high in both the primary tumor and metastatic intestinal lesion. 18F‐FDG PET/CT imaging may therefore be used to determine the preferred biopsy site or early intervention by surgery.
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spelling doaj.art-7bbdc97f2bd643718f3298134415dcd32022-12-21T23:19:06ZengWileyThoracic Cancer1759-77061759-77142020-08-011182325233010.1111/1759-7714.1346818F‐FDG PET/CT imaging of small intestinal metastasis from pulmonary sarcomatoid carcinoma: Brief report and review of the literatureXinli Xie0Ning Tu1Qi Wang2Zhen Cheng3Xingmin Han4Lihong Bu5Department of Nuclear Medicine the First Affiliated Hospital of Zhengzhou University Zhengzhou ChinaPET‐CT/MRI Center & Molecular Imaging Center Wuhan University Renmin Hospital Wuhan ChinaThe 1st Department of Gastrointestinal Surgery Wuhan University Renmin Hospital Wuhan ChinaMolecular Imaging Program at Stanford (MIPS), Department of Radiology and Bio‐X Program Stanford University Stanford California USADepartment of Nuclear Medicine the First Affiliated Hospital of Zhengzhou University Zhengzhou ChinaPET‐CT/MRI Center & Molecular Imaging Center Wuhan University Renmin Hospital Wuhan ChinaWe herein report two cases of small intestinal metastasis from pulmonary sarcomatoid carcinoma (PSC) detected by 18F‐fluorodeoxyglucose positron emission tomography/computed tomography (18F‐FDG PET/CT). We reviewed the literature on 18F‐FDG PET/CT features in gastrointestinal metastasis of PSC patients since 1992, and further analyzed the imaging features. According to the literature review, 23 eligible cases were identified from eight studies, and no cases underwent 18F‐FDG PET/CT imaging. In this study, clinical and PET/CT imaging data of two patients are reported. In our cases, clinical and the CT images of lung masses were not typical, but the uptake of 18F‐FDG was remarkably high, with SUVmax exceeding 30. Small intestinal metastases may not be related to obstruction, or even the local intestinal cavity may be dilated. Therefore, in PSC patients with mild or without abdominal symptoms, 18F‐FDG PET/CT imaging could identify intestinal metastasis at a relatively early stage and may be used to determine the preferred biopsy site, or early intervention by surgery. Key points 18F‐FDG PET/CT imaging of small intestinal metastasis of PSC has not been previously reported in the literature and here we report the 18F‐FDG PET/CT features of two cases. The uptake of 18F‐FDG was remarkably high in both the primary tumor and metastatic intestinal lesion. 18F‐FDG PET/CT imaging may therefore be used to determine the preferred biopsy site or early intervention by surgery.https://doi.org/10.1111/1759-7714.1346818F‐Fluorodeoxyglucosenon‐small cell lung cancerpositron emissiontomography/computed tomographypulmonary sarcomatoid carcinomasmall intestinal metastasis
spellingShingle Xinli Xie
Ning Tu
Qi Wang
Zhen Cheng
Xingmin Han
Lihong Bu
18F‐FDG PET/CT imaging of small intestinal metastasis from pulmonary sarcomatoid carcinoma: Brief report and review of the literature
Thoracic Cancer
18F‐Fluorodeoxyglucose
non‐small cell lung cancer
positron emissiontomography/computed tomography
pulmonary sarcomatoid carcinoma
small intestinal metastasis
title 18F‐FDG PET/CT imaging of small intestinal metastasis from pulmonary sarcomatoid carcinoma: Brief report and review of the literature
title_full 18F‐FDG PET/CT imaging of small intestinal metastasis from pulmonary sarcomatoid carcinoma: Brief report and review of the literature
title_fullStr 18F‐FDG PET/CT imaging of small intestinal metastasis from pulmonary sarcomatoid carcinoma: Brief report and review of the literature
title_full_unstemmed 18F‐FDG PET/CT imaging of small intestinal metastasis from pulmonary sarcomatoid carcinoma: Brief report and review of the literature
title_short 18F‐FDG PET/CT imaging of small intestinal metastasis from pulmonary sarcomatoid carcinoma: Brief report and review of the literature
title_sort 18f fdg pet ct imaging of small intestinal metastasis from pulmonary sarcomatoid carcinoma brief report and review of the literature
topic 18F‐Fluorodeoxyglucose
non‐small cell lung cancer
positron emissiontomography/computed tomography
pulmonary sarcomatoid carcinoma
small intestinal metastasis
url https://doi.org/10.1111/1759-7714.13468
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