title: Bone marrow metastases in an otherwise operable gall bladder cancer: rare site of distant metastases detected on FDG PET/CT.
abstract: Primary carcinoma of gall bladder is a highly aggressive malignancy, most often detected in late stage in majority of the affected patients. It commonly spreads to the adjacent liver parenchyma and, via lymphatics, to mesenteric nodes. Extra-abdominal metastatic sites are extremely rare, with lung being the commonest site. We report a rare occurrence of isolated asymptomatic bone marrow metastases from gall bladder cancer, in the absence of locoregional adenopathy, detected on whole-body F-FDG PET/CT at initial staging.
authors.affiliation: From the Department of Nuclear Medicine and Molecular Imaging, Tata Memorial Hospital, Mumbai, India.
authors.forename: Ameya D
authors.initials: AD
authors.lastname: Puranik
authors.forename: Nilendu
authors.initials: N
authors.lastname: Purandare
authors.forename: Archi
authors.initials: A
authors.lastname: Agrawal
authors.forename: Sneha
authors.initials: S
authors.lastname: Shah
authors.forename: Venkatesh
authors.initials: V
authors.lastname: Rangarajan
mesh_terms: D019046:Bone Marrow Neoplasms / Q000556:secondary*; D019788:Fluorodeoxyglucose F18; D005706:Gallbladder Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D064847:Multimodal Imaging; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed
chemical_list: D019788:Fluorodeoxyglucose F18