Open AccessGranulocytic sarcoma of the pancreas on 18F-FDG PET/CT
Author(s) -
Akira Ishii,
Tadakazu Kondo,
Tomomi Oka,
Yuji Nakamoto,
Akifumi TakaoriKondo
Publication year - 2016
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000005570
Subject(s) - medicine , pancreas , positron emission tomography , myeloid leukemia , leukemia , bone marrow , pancreatitis , acute pancreatitis , radiology , sarcoma , pathology , nuclear medicine
Abstract Rationale: Granulocytic sarcoma (GS) is defined as leukemia infiltration in any organ other than the bone marrow. GS rarely occurs in the pancreas. Here, we present the first report of GS in the pancreas on 18 F-fluorodexyglucose positron emission tomography/computed tomography ( 18 F-FDG PET/CT). Patient concerns: A 19-year-old male patient with acute myeloid leukemia received a human leukocyte antigen-haploidentical stem cell transplant as a second transplant while in second complete remission. Interventions: After a second stem cell transplant, obstructive pancreatitis accompanied by a mass in the pancreatic head was observed. FDG-PET/CT revealed abnormal activity in the head of the pancreas and the skin in the patient's left breast area. Diagnoses: Pathological examination demonstrated relapsed acute myeloid leukemia in both the lesions. Outcomes: This is the first report showing the 18 F-FDG PET/CT findings of GS in the pancreas. Lessons: 18 F-FDG PET/CT may help determine the stage of GS.