F-18 FDG PET-CT findings of intraperitoneal carbon particles-induced granulomas mimicking peritoneal carcinomatosis.

作者: Seok Tae Lim , Hwan-Jeong Jeong , Dong Wook Kim , Chang-Yeul Yim , Myung-Hee Sohn

DOI: 10.1097/RLU.0B013E31816A7861

关键词: Peritoneal NeoplasmHemicolectomyPositron emission tomographyNuclear medicineMedicinePeritoneal carcinomatosisPeritoneal cavityDifferential diagnosisMitomycin CParacolic gutters

摘要: F-18 FDG PET-CT is a useful modality for monitoring residual or recurrent tumors after surgical resection. We report on 3 patients with intraperitoneal charcoal-induced granulomas mimicking peritoneal carcinomatosis images. Two of them underwent radical gastrectomy because advanced gastric cancer, and the other hemicolectomy sigmoid colon cancer. All had history chemotherapy using mitomycin C bound to activated carbon particles during surgery. Follow-up studies demonstrated increased uptake PET images alone. However, accompanying noncontrast CT showed variously shaped hyperdense nodules in dependent positions cavity, including paracolic gutter rectovesical space, indicating rather than carcinomatosis.

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