Nonspecific FDG uptake in the tongue mimicking the primary tumor in a patient with cancer of unknown primary
Abstract For cancers of the head and neck, the combination of18 F-fluorodeoxy-glucose positron emission tomography (FDG-PET)/computed tomography (CT) gains wide acceptance, especially if the primary tumor is unknown (CUP). A patient underwent FDG-PET/CT for squamous cell CUP with cervical lymph node...
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Veröffentlicht in: | Clinical imaging 2011-09, Vol.35 (5), p.405-407 |
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description | Abstract For cancers of the head and neck, the combination of18 F-fluorodeoxy-glucose positron emission tomography (FDG-PET)/computed tomography (CT) gains wide acceptance, especially if the primary tumor is unknown (CUP). A patient underwent FDG-PET/CT for squamous cell CUP with cervical lymph node metastases. FDG-PET/CT showed uptake in the right side of the tongue, rendering this area a possible location for the primary tumor. However, clinical examination revealed a deviation of the tongue toward the left side indicating affection of the left hypoglossal nerve, causing the increased FDG uptake. This case illustrates the interpretive pitfalls of unspecific FDG uptake in PET/CT imaging of the head and neck. |
doi_str_mv | 10.1016/j.clinimag.2010.09.005 |
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A patient underwent FDG-PET/CT for squamous cell CUP with cervical lymph node metastases. FDG-PET/CT showed uptake in the right side of the tongue, rendering this area a possible location for the primary tumor. However, clinical examination revealed a deviation of the tongue toward the left side indicating affection of the left hypoglossal nerve, causing the increased FDG uptake. This case illustrates the interpretive pitfalls of unspecific FDG uptake in PET/CT imaging of the head and neck.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2010.09.005</identifier><identifier>PMID: 21872134</identifier><identifier>CODEN: CLIMEB</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Cancer of unknown primary (CUP) ; Carcinoma, Squamous Cell - pathology ; Cervical mass ; Cranial Nerve Neoplasms - diagnostic imaging ; Diagnosis, Differential ; FDG-PET/CT ; Female ; Fluorodeoxyglucose F18 ; Humans ; Hypoglossal nerve ; Hypoglossal Nerve Diseases - diagnostic imaging ; Lymphatic Metastasis - pathology ; Multimodal Imaging ; Neoplasms, Unknown Primary ; Positron-Emission Tomography ; Radiology ; Radiopharmaceuticals ; Tomography, X-Ray Computed ; Tongue - diagnostic imaging ; Unspecific FDG uptake</subject><ispartof>Clinical imaging, 2011-09, Vol.35 (5), p.405-407</ispartof><rights>Elsevier Inc.</rights><rights>2011 Elsevier Inc.</rights><rights>Copyright © 2011 Elsevier Inc. 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A patient underwent FDG-PET/CT for squamous cell CUP with cervical lymph node metastases. FDG-PET/CT showed uptake in the right side of the tongue, rendering this area a possible location for the primary tumor. However, clinical examination revealed a deviation of the tongue toward the left side indicating affection of the left hypoglossal nerve, causing the increased FDG uptake. This case illustrates the interpretive pitfalls of unspecific FDG uptake in PET/CT imaging of the head and neck.</description><subject>Aged</subject><subject>Cancer of unknown primary (CUP)</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Cervical mass</subject><subject>Cranial Nerve Neoplasms - diagnostic imaging</subject><subject>Diagnosis, Differential</subject><subject>FDG-PET/CT</subject><subject>Female</subject><subject>Fluorodeoxyglucose F18</subject><subject>Humans</subject><subject>Hypoglossal nerve</subject><subject>Hypoglossal Nerve Diseases - diagnostic imaging</subject><subject>Lymphatic Metastasis - pathology</subject><subject>Multimodal Imaging</subject><subject>Neoplasms, Unknown Primary</subject><subject>Positron-Emission Tomography</subject><subject>Radiology</subject><subject>Radiopharmaceuticals</subject><subject>Tomography, X-Ray Computed</subject><subject>Tongue - diagnostic imaging</subject><subject>Unspecific FDG uptake</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1v1DAQhi0EokvhL1SWOHDKMv5IYl8QqNCCVMEBOFte73jr3cQJcdKq_x5nP0DqpSdLo-ed8TvvEHLBYMmAVe-3S9eEGFq7WXLIRdBLgPIZWTBVi0JKrZ-TBSitixpqdkZepbSFLNSyfknOeKY4E3JBmu9dTD264IOjV5-v6dSPdoc0RDreIh27uJmQtqENbhfiZl_shzx3eKDj1HbDTFra2zFgHOl9GG-ps9HhQDtPp7iL3X08KV6TF942Cd8c33Py--rLr8uvxc2P62-Xn24KJxUfC69KzevKgebS116qkqk1KsmFKq2FSnusvEDGxKp0TK80eKF4yXiFHoBLcU7eHfr2Q_dnwjSaNiSHTWMjdlMySgtegyjZ02T-CgMJIpNvH5HbbhpitmEYCK6rqt5Prg6UG7qUBvTmaD1DZg7ObM0pODMHZ0CbHFwWXhzbT6sW1_9kp6Qy8PEAYF7cXcDBJJdX7nAdBnSjWXfh6RkfHrXYY842O3zA9N-PSdyA-Tmfz3w9DPJWQQvxF0zswF4</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Werner, Matthias K</creator><creator>Pfannenberg, Christina</creator><creator>Öksüz, Mehmet Ö</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><scope>7QO</scope></search><sort><creationdate>20110901</creationdate><title>Nonspecific FDG uptake in the tongue mimicking the primary tumor in a patient with cancer of unknown primary</title><author>Werner, Matthias K ; Pfannenberg, Christina ; Öksüz, Mehmet Ö</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c482t-f859276c0924f7f48518de842385aa069fe6f3e113b5c19b90f3825126ef00243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Cancer of unknown primary (CUP)</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Cervical mass</topic><topic>Cranial Nerve Neoplasms - diagnostic imaging</topic><topic>Diagnosis, Differential</topic><topic>FDG-PET/CT</topic><topic>Female</topic><topic>Fluorodeoxyglucose F18</topic><topic>Humans</topic><topic>Hypoglossal nerve</topic><topic>Hypoglossal Nerve Diseases - diagnostic imaging</topic><topic>Lymphatic Metastasis - pathology</topic><topic>Multimodal Imaging</topic><topic>Neoplasms, Unknown Primary</topic><topic>Positron-Emission Tomography</topic><topic>Radiology</topic><topic>Radiopharmaceuticals</topic><topic>Tomography, X-Ray Computed</topic><topic>Tongue - diagnostic imaging</topic><topic>Unspecific FDG uptake</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Werner, Matthias K</creatorcontrib><creatorcontrib>Pfannenberg, Christina</creatorcontrib><creatorcontrib>Öksüz, Mehmet Ö</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><jtitle>Clinical imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Werner, Matthias K</au><au>Pfannenberg, Christina</au><au>Öksüz, Mehmet Ö</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonspecific FDG uptake in the tongue mimicking the primary tumor in a patient with cancer of unknown primary</atitle><jtitle>Clinical imaging</jtitle><addtitle>Clin Imaging</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>35</volume><issue>5</issue><spage>405</spage><epage>407</epage><pages>405-407</pages><issn>0899-7071</issn><eissn>1873-4499</eissn><coden>CLIMEB</coden><abstract>Abstract For cancers of the head and neck, the combination of18 F-fluorodeoxy-glucose positron emission tomography (FDG-PET)/computed tomography (CT) gains wide acceptance, especially if the primary tumor is unknown (CUP). 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subjects | Aged Cancer of unknown primary (CUP) Carcinoma, Squamous Cell - pathology Cervical mass Cranial Nerve Neoplasms - diagnostic imaging Diagnosis, Differential FDG-PET/CT Female Fluorodeoxyglucose F18 Humans Hypoglossal nerve Hypoglossal Nerve Diseases - diagnostic imaging Lymphatic Metastasis - pathology Multimodal Imaging Neoplasms, Unknown Primary Positron-Emission Tomography Radiology Radiopharmaceuticals Tomography, X-Ray Computed Tongue - diagnostic imaging Unspecific FDG uptake |
title | Nonspecific FDG uptake in the tongue mimicking the primary tumor in a patient with cancer of unknown primary |
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