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Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) Adrenal tuberculosis masquerading as disseminated malignancy: A pitfall of 18F-F...
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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
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
A.K.-->R. Gorlaa, K. Guptab, A. Sooda,
Corresponding author
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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