(18)F-FDG PET/CT for discrimination between tumor extension and blood thrombus in pancreatic adenocarcinoma associated with portal vein thrombosis.
Pancreatic cancer is a malignancy with an extremely poor prognosis. Less than 3 % of patients are alive 5 years after diagnosis. Pancreatic neoplasms represent a possible but uncommon etiology of portal venous invasion. It is important to differentiate the nature of the thrombus, if it is a bland thrombus or is a direct tumor extension. Intense uptake of 18F-fluorodeoxyglucose ((18)F-FDG) has been reported in portal vein tumor thrombus. We present a case of pancreatic adenocarcinoma and clinical findings of portal hypertension due to portal vein thrombosis. (18)F-FDG positron emission tomography (PET)/computed tomography (CT) evaluation discarded a tumor thrombus; imaging findings of the pancreatic tumor and the bland thrombus are presented.
Roldán-Valadez
E
E
PET/CT Unit, Medica Sur Hospital and Clinical Foundation, Mexico City, Mexico. ernest.roldan@usa.net
Ortega-López
N
N
Valdivieso-Cárdenas
G
G
Vega-González
I
I
Herrera-Gómez
A
A
D000230:Adenocarcinoma / Q000150:complications*; D000368:Aged; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D019788:Fluorodeoxyglucose F18; D006801:Humans; D006975:Hypertension, Portal / Q000209:etiology; D008297:Male; D009361:Neoplasm Invasiveness / Q000000981:diagnostic imaging; D009360:Neoplastic Cells, Circulating; D010190:Pancreatic Neoplasms / Q000150:complications*; D011169:Portal Vein / Q000000981:diagnostic imaging*; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D036542:Tomography, Spiral Computed; D020246:Venous Thrombosis / Q000000981:diagnostic imaging*
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18