The diagnostic hurdle of an elderly male with bone pain: how 18F-FDG-PET led to diagnosis of a leiomyosarcoma of the adrenal gland.
It is uncommon for patients to present with bone metastases while the primary tumor is still unknown. The case of a patient with bone metastases as primary presentation of leiomyosarcoma, who was diagnosed after a 18F-FDG PET-CT and a CT-guided biopsy of the adrenal gland is described. If after routine physical, laboratory and radiological investigations no diagnosis can be made, 18F-FDG PET should be added to the conventional work-up of patients with unknown primary cancer. In this way, unnecessary and enduring suffering of symptomatic patients may be prevented.
Van Laarhoven
Hanneke W M
HW
Department of Medical Oncology, Radboud University Nijmegen Medical Centre, The Netherlands. h.vanlaarhoven@onco.umcn.nl
Vinken
Maarten
M
Mus
Roel
R
Flucke
Uta
U
Oyen
Wim J G
WJ
Van der Graaf
Winette T
WT