Adrenal tuberculosis masquerading as disseminated malignancy: A pitfall of 18F-FDG PET/CT Imaging

Gorla, A.K.-->R.; Gupta, K.; Sood, A.; Biswal, C.K.; Bhansali, A.; Mittal, B.R.

doi:10.1016/j.remnie.2015.11.007

ISSN: 2253-8089

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Vol. 35. Issue 4.

Pages 257-259 (July - August 2016)

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Vol. 35. Issue 4.

Pages 257-259 (July - August 2016)

Clinical note

DOI: 10.1016/j.remnie.2015.11.007

Adrenal tuberculosis masquerading as disseminated malignancy: A pitfall of 18F-FDG PET/CT Imaging

Tuberculosis adrenal que simula una enfermedad maligna diseminada: probable error diagnóstico de la imagen PET/TC con 18F-FDG

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A.K.-->R. Gorlaa, K. Guptab, A. Sooda,

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sood99@yahoo.com

Corresponding author.

, C.K. Biswala, A. Bhansalic, B.R. Mittala

a Department of Nuclear Medicine, PGIMER, Chandigarh 160012, India

b Department of Histopathology, PGIMER, Chandigarh 160012, India

c Department of Endocrinology, PGIMER, Chandigarh 160012, India

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Abstract

Non-invasive characterization of adrenal lesions is a commonly encountered diagnostic challenge. Characteristic clinical and correlative imaging findings may assist in only arriving at a probable diagnosis. Currently, 18F-FDG PET/CT is considered to provide the most comprehensive imaging information. We here present a case of bilateral adrenal tuberculosis that highlights the need for caution during the interpretation of 18F-FDG PET/CT and also the need to suggest histopathological correlation.

Keywords:

Adrenal insufficiency

Tuberculosis

18F-fluorodeoxyglucose positron-emission tomography

Computed tomography

Needle biopsy

Resumen

La caracterización no invasiva de las lesiones suprarrenales es un frecuente desafío diagnóstico. Las características clínicas y la correlación con los hallazgos de las técnicas de imagen pueden sugerir un diagnóstico probable, siendo en la actualidad la PET/TC con 18F-FDG la técnica que proporciona la mayor información. Presentamos un caso de tuberculosis suprarrenal bilateral que destaca la necesidad de ser prudentes en la interpretación de la PET/TC con 18F-FDG y la necesidad de su correlación histopatológica.

Palabras clave:

Insuficiencia suprarrenal

Tuberculosis

Tomografía por emisión de positrones/Tomografía computarizada con 18F-fluorodesoxiglucosa

Biopsia

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