FDG-PET and CT findings of activated brown adipose tissue in a patient with paraganglioma

A 17-year-old female had been complaining of a headache for 6 years. She presented severe hypertension (200/138 mmHg) on admission. CT showed a hypervascular tumor behind the urinary bladder and a swelling of the right internal obturator node. Intense FDG uptakes were identified in the both lesions....

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Bibliographic Details
Main Authors: Yuko Ogawa, Koichiro Abe, Akiko Sakoda, Hiromi Onizuka, Shuji Sakai
Format: Article
Language:English
Published: Elsevier 2018-01-01
Series:European Journal of Radiology Open
Online Access:http://www.sciencedirect.com/science/article/pii/S2352047718300728
Description
Summary:A 17-year-old female had been complaining of a headache for 6 years. She presented severe hypertension (200/138 mmHg) on admission. CT showed a hypervascular tumor behind the urinary bladder and a swelling of the right internal obturator node. Intense FDG uptakes were identified in the both lesions. High FDG accumulation was also observed in the brown adipose tissue (BAT) throughout the patient's body, and intense contrast enhancement was found in the BAT on CT. The diagnosis was a malignant paraganglioma with obturator node metastasis. The post-surgery FDG-PET/ CT examination revealed that the FDG accumulations in the BAT had completely disappeared. Keywords: Brown adipose tissue, BAT, Paraganglioma, FDG-PET/CT, Contrast-enhanced CT
ISSN:2352-0477