Adrenal epithelioid angiosarcoma metastatic to the epicardium: diagnosis by 18F-FDG PET/CT.
We report a rare case of adrenal epithelioid angiosarcoma metastatic to the epicardium diagnosed by F-FDG PET/CT. A 61-year-old man presented with fatigue, unintentional weight loss, night sweats, and elevated inflammatory markers. FDG PET/CT demonstrated intense uptake in a space-occupying lesion in the right adrenal gland and increased uptake in a lesion adjacent to the heart. Histopathologic evaluation revealed an epithelioid angiosarcoma of the right adrenal gland metastatic to the epicardium. FDG PET/CT is a valuable tool for characterization and making the therapeutic decision concerning indeterminate or suspicious adrenal tumors.
Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, MartinistraQe 52, D-20246 Hamburg-Eppendorf, Germany. t.derlin@uke.uni-hamburg.de
Thorsten
T
Derlin
Till Sebastian
TS
Clauditz
Christian Rolf
CR
Habermann
D000310:Adrenal Gland Neoplasms / Q000473:pathology*; D019788:Fluorodeoxyglucose F18; D006338:Heart Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary*; D006394:Hemangiosarcoma / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D010496:Pericardium / Q000000981:diagnostic imaging*; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed
D019788:Fluorodeoxyglucose F18