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Indian J Nucl Med. 2015 Jan-Mar;30(1):51-4. doi: 10.4103/0972-3919.147541.

(18)F-fluoro-deoxyglucose positron emission tomography-computed tomography in initial assessment and diagnosis of right atrial angiosarcoma with widespread visceral metastases: A rare case report and review of the literature.

Indian journal of nuclear medicine : IJNM : the official journal of the Society of Nuclear Medicine, India

Avani Jain, Shelley Simon, Indirani Elangovan

Affiliations

  1. Department of Nuclear Medicine and PET-CT, Apollo Main Hospital, Chennai, Tamil Nadu, India.

PMID: 25589807 PMCID: PMC4290067 DOI: 10.4103/0972-3919.147541

Abstract

Cardiac angiosarcoma is the most common primary cardiac sarcoma in adults. Primary cardiac tumors are rare and have nonspecific clinical presentation, thus making its diagnosis challenging. Clinically, patients present with advanced disease demonstrating metastatic disease at initial presentation itself. It commonly metastasizes to lung, liver, brain, and bone; however metastases to lymph nodes, adrenal glands, spleen and skin has also been seen. We describe a case of right atrial angiosarcoma with extensive visceral metastases involving brain, lungs, liver, pancreas, kidney, and lymph nodes, demonstrated on contrast-enhanced (18)F-fluoro-deoxyglucose positron emission tomography-computed tomography (FDG PET-CT). To the best of our knowledge metastases to pancreas and kidney have not been reported so far in the literature. With our report, we emphasize on the initial use of FDG PET-CT in workup of cardiac angiosarcoma for accurate staging and prognostication of this disease.

Keywords: Atrial angiosarcoma; fluoro-deoxyglucose positron emission tomography SUVmax

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