Open AccessRectal carcinoma metastases to multiple skeletal muscles-role of f-18 FDG PET/CT
Author(s) -
Meghana Prabhu,
Sunil Hejjaji Venkataramarao Nalini Raju,
Saqib S. Sachani
Publication year - 2017
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_167_16
Subject(s) - medicine , skeletal muscle , metastasis , colorectal cancer , adenocarcinoma , lung , radiology , carcinoma , rectal carcinoma , chemoradiotherapy , positron emission tomography , pathology , cancer , radiation therapy
Rectal carcinoma with metastasis to skeletal muscle is rare. So far, 16 cases of skeletal muscle metastasis from colorectal carcinoma have been documented of which only 5 were rectal carcinomas. [1] We discuss here the case of a 69-year old male, a known case of mucinous adenocarcinoma status post neoadjuvant chemoradiotherapy and abdomino perineal resection, who presented with low backache 4 months post surgery. He was found to have metastasis to multiple skeletal muscles without the involvement of common sites, such as liver and lung. The role of 18-FDG-PET/CT in such cases is rarely reported in the literature. This case highlights the importance of utilizing 18-FDG-PET/CT in detecting sites of skeletal muscle metastasis and thereby guides appropriate management.