Pancreatic neuroendocrine tumor with portal vein tumor thrombus: PET demonstration.
Tumor thrombus differentiates itself from bland thrombus by its contrast enhancement features on cross-sectional imaging and its intense uptake of F-18 FDG on PET as a result of its hypervascularity and high metabolic neoplastic activity. This PET pattern has been reported in cases of renal cell carcinoma and adrenal cortical carcinoma with invasion of the inferior vena cava. Tumor thrombus may involve the superior mesenteric and portal veins in patients with abdominal or pelvic malignancy. The author presents a case of recurrent pancreatic neuroendocrine tumor with mesenteric and portal venous thrombotic invasion imaged by PET and computed tomography.
Nguyen
Ba D
BD
Department of Radiology, Mayo Clinic Scottsdale, Scottsdale, Arizona 85259, USA. nguyen.ba@mayo.edu
D000328:Adult; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008297:Male; D018358:Neuroendocrine Tumors / Q000150:complications* / Q000000981:diagnostic imaging*; D010190:Pancreatic Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging*; D011169:Portal Vein / Q000000981:diagnostic imaging*; D049268:Positron-Emission Tomography / Q000379:methods; D019275:Radiopharmaceuticals; D012008:Recurrence; D020246:Venous Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology*
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18