Open AccessUnilateral Brown Fat Suppression on FDG PET/CT-detecting Sympathetic Denervation
Author(s) -
Saurabh Arora,
Nishikant Damle,
K.S. Reddy,
Girish Kumar Parida,
Abhinav Singhal,
Sreedharan Thankarajan Arunraj,
Chandrasekhar Bal,
Roma Singh,
Shobhana Raju,
Debesh Chakraborty
Publication year - 2018
Publication title -
indian journal of nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/ijnm.ijnm_166_17
Subject(s) - medicine , lesion , thoracotomy , denervation , chemoradiotherapy , chemotherapy , radiology , radiation therapy , anatomy , surgery
We present here a case of primitive neuroectodermal tumor (PNET) who initially presented with involvement of the right 3 rd rib and underwent neoadjuvant chemotherapy, rib excision, and adjuvant chemoradiotherapy and later underwent posterolateral thoracotomy, pleural nodule excision, and the right 11 th rib metastatic lesion excision. Follow-up 18 F-FDG PET/CT/computed tomography revealed unilateral brown fat suppression in the form of decreased metabolic uptake in the ipsilateral cervical, axillary, and paravertebral brown fat as compared to metabolically active contralateral brown fat, likely due to paravertebral sympathetic chain damage.