title: A (18)F-FDG PET/CT Screening Study of a Hepatocellular Carcinoma Patient with Diffuse (18)F-FDG Uptake into the Portal Vein and its Intrahepatic Branches.
abstract: Major vascular invasion is one of the worst prognostic factors of hepatocellular carcinoma (HCC). Fludeoxyglucose F 18 ((18) F-FDG) positron emission tomography/computed tomography (PET/CT) method is succesfully being used in HCC patients for the detection of particularly long-distance metastasis. Major vascular invasion is shown by radiological methods [particularly dynamic CT and/or magnetic resonance imaging (MRI)]. A male patient aged 60 years was diagnosed with HCC, according to biopsy after the detection of a mass in the liver. His medical examinations that were performed for the evaluation in terms of liver transplantation were dynamic CT and dynamic MRI; invasion in the intrahepatic branches of the portal vein and in main portal vein was also detected. PET/CT was performed to investigate the distant metastases. Moreover, diffuse (18) F-FDG uptake in the intrahepatic branches of the portal vein and in the main portal vein was observed.
authors.affiliation: Department of Nuclear Medicine, Karabuk University, Karabuk, Turkey.
authors.forename: Reyhan
authors.initials: R
authors.lastname: Koroglu
authors.affiliation: Department of Nuclear Medicine, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Koksal
authors.affiliation: Department of Anesthesiology, Yildirim Beyazit University, Training and Research Hospital, Ankara, Turkey.
authors.forename: Fatma
authors.initials: F
authors.lastname: Gezer
authors.affiliation: Department of Radiology, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey.
authors.forename: Aysegul
authors.initials: A
authors.lastname: Kahraman
authors.affiliation: Department of Nuclear Medicine, Inonu University, Turgut Ozal Medical Center, Malatya, Turkey.
authors.forename: Ersoy
authors.initials: E
authors.lastname: Kekilli
keywords: Diffuse fludeoxyglucose F 18 (18 F-FDG) uptake; hepatocellular carcinoma (HCC); intrahepatic branches of the portal vein