Open AccessEpithelioid Hemangioma of Vertebra Mimicking Metastasis on FDG PET/CT in a Patient With Renal Cell Cancer
Author(s) -
Fumi Yanagisawa,
Yasuo Amano,
Yuko Omori,
Ryo Takagi,
Xiaoyan Tang
Publication year - 2020
Publication title -
clinical nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.637
H-Index - 57
eISSN - 1536-0229
pISSN - 0363-9762
DOI - 10.1097/rlu.0000000000003428
Subject(s) - medicine , vertebra , metastasis , radiology , hemangioma , renal cell carcinoma , cancer , thoracic vertebrae , angioma , epithelioid cell , pathology , lumbar vertebrae , anatomy , lumbar , vascular disease , surgery , immunohistochemistry
Vertebral epithelioid hemangioma is a rare vascular tumor composed of the many vessels lined by distinct epithelioid endothelial cells. We present the case of a patient with renal cell cancer (RCC) and suspicious vertebral metastasis presenting with back pain, who was later found to have epithelioid hemangioma. FDG PET/CT demonstrated uptake of FDG not only in RCC, but also in the sixth thoracic vertebral body. The SUVmax of the vertebra was more than twice as high as RCC. This report indicates importance of quantitative assessment of FDG uptake, as well as combined use of MRI.