18F-FDG PET/CT images defined the true extent of a urothelial bladder carcinoma

Autor: L.S. Almeida, A.O. Santos, G.H. Martins, L. Eloy, M.L. Lima, E. Etchebehere
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Urology Case Reports, Vol 33, Iss , Pp 101289- (2020)
Druh dokumentu: article
ISSN: 2214-4420
DOI: 10.1016/j.eucr.2020.101289
Popis: A patient was referred, after neoadjuvant chemotherapy, for pre-surgical evaluation of urothelial bladder carcinoma (single lesion). Two thickenings in the left ureter wall identified on the CT scan were equivocal for malignancy. 18F-FDG PET/CT with delayed pelvic images, hyperhydration, and furosemide showed hypermetabolic ureteral metastases and multifocal bladder tumors. There were no lymph nodes or distant metastases. These 18F-FDG PET/CT findings completely altered the surgical treatment. The patient underwent left nephroureterectomy, radical cystoprostatectomy, and lymphadenectomy, followed by a urinary transit reconstruction. Histopathology confirmed multifocal high-grade urothelial carcinoma in the bladder walls and left ureter and benign lymph nodes.
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