Abstract
18F-Fluorodeoxy glucose (FDG) activity reflects tissue glucose metabolism; malignancies,
metastases, and acute infections have relatively increased FDG activity reflecting
increased glucose metabolism. Benign adrenal disease demonstrating mild FDG uptake
can be worrisome for metastasis in patients with a history of malignancy.
Our patient with breast and colon cancer developed gastrointestinal bleeding on heparin
therapy, enlarged adrenals with heterogeneous attenuation consistent with hemorrhage
and blood clots as seen on abdominal computed tomography scan, and as abnormal intense
FDG activity in the bilateral adrenal glands on positron emission tomography scan.
Keywords
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References
- Imaging of nontraumatic hemorrhage of the adrenal gland.Radiographics. 1999; 19: 949-963
- Heparin-associated thrombocytopenia syndrome: an underestimated etiology of adrenal hemorrhage.Intensive Care Med. 1993; 19: 475-477
- State-of-the-art adrenal imaging.Radiographics. 2001; 21 ([RSNA, 2001]): 995-1012
- Spontaneous idiopathic bilateral adrenal hemorrhage in adults.Clin Radiol. 2003; 58: 890-892
- Bilateral massive adrenal hemorrhage early recognition and treatment.Ann Intern Med. 1989; 110: 227-235
- Evaluation of adrenal masses in patients with bronchogenic carcinoma using 18F-fluorodeoxy-glucose positron emission tomography.AJR Am J Roentgenol. 1997; 168: 1357-1360
- Imaging of adrenal tumors using FDG PET: comparison of benign and malignant lesions.AJR Am J Roentgenol. 1999; 173: 25-29
- 18F-FDG PET in characterizing adrenal lesions detected on CT or MRI.J Nucl Med. 2001; 42: 785-1799
- Adrenal masses incidental discovery on computed tomography.AJR Am J Roentgenol. 1982; 139: 81-85
- Adrenal imaging: current status.AJR Am J Roentgenol. 1990; 154: 927-936
- Imaging procedures in adrenal pathology.Arq Bras Endocrinol Metab. 2004; 48/5: 592-611
- Imaging evaluation of the non-functioning indeterminate adrenal mass.Trends Endocrinol Metab. 2004; 15 ([Review]): 271-276
- An eleven-year experience with adrenocortical carcinoma.Surgery. 1992; 112: 963-971
Article info
Publication history
Published online: February 02, 2007
Accepted:
December 5,
2006
Received:
October 5,
2006
Identification
Copyright
© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
