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. 2008 Dec 1;8(1):216-9.
doi: 10.1102/1470-7330.2008.0033.

Isolated asymptomatic skeletal muscle metastasis in a potentially resectable non-small cell lung cancer: detection with FDG PET-CT scanning

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Isolated asymptomatic skeletal muscle metastasis in a potentially resectable non-small cell lung cancer: detection with FDG PET-CT scanning

Nilendu C Purandare et al. Cancer Imaging. .

Abstract

Asymptomatic skeletal muscle metastasis in non-small cell lung cancer is a rare event particularly when it is detected at initial staging. This report describes how whole body imaging with [18F]fluorodeoxyglucose (FDG) positron emission tomography (PET)-computed tomography (CT) detected a solitary asymptomatic metastasis to the gluteus maximus muscle in a potentially resectable case of non-small cell lung cancer, thereby changing the treatment plan from surgical resection to systemic chemotherapy.

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Figures

Figure 1
Figure 1
(A) CT scan showing the primary lung mass in the left upper lobe (long white arrow) and the enlarged mediastinal node (short white arrow). (B,C) Axial PET and fusion PET-CT images show the FDG avid mass in the left upper lobe (long arrow) and mediastinal node (short arrow).
Figure 2
Figure 2
(A) Fusion PET-CT image shows the FDG avid nodule in the left gluteus maximum muscle (white arrow). (B) Ultrasonography shows a hypoechoic nodule in the gluteus maximum muscle. Guided fine needle aspiration was performed from this nodule. (C) Coronal short tau inversion recovery (STIR) MRI image shows a hyperintense nodule in the left gluteus maximus muscle.

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