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Case Reports
. 2016 Jul-Sep;31(3):204-6.
doi: 10.4103/0972-3919.183611.

Late metastatic recurrence of penile carcinoma after 10 years: Demonstration with (18)F-fluorodeoxyglucose positron emission tomography/computed tomography

Punit Sharma  1
Affiliations
Case Reports

Late metastatic recurrence of penile carcinoma after 10 years: Demonstration with (18)F-fluorodeoxyglucose positron emission tomography/computed tomography

Punit Sharma. Indian J Nucl Med. 2016 Jul-Sep.

Abstract

Penile cancer is rare cancer. While inguinal and pelvic nodal metastasis is common, distant metastasis is rare. We here present the interesting case of a 59-year-old male patient with penile carcinoma, previously treated with penectomy and inguinal lymphadenectomy 10 years earlier. He presented with bone pains and given history of malignancy he was referred for an (18)F-fluorodeoxyglucose ((18)F-FDG) positron emission tomography/computed tomography (PET/CT). PET/CT demonstrated multiple (18)F-FDG avid bone and lung metastases. No locoregional disease was seen. Biopsy from a lung nodule confirmed the diagnosis, and the patient was started on palliative chemotherapy.

Keywords: 18F-fluorodeoxyglucose; penile carcinoma; positron emission tomography/computed tomography; recurrence.

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Figures

Figure 1
Figure 1
Maximum intensity projection positron emission tomography image. (a) Multiple hypermetabolic foci in thorax, abdomen and pelvis. Transaxial positron emission tomography/computed tomography image of pelvis (b) Postpenectomy status (arrow). No hypermetabolic lesion is seen in the penile stump, and no hypermetabolic inguinal node was seen. Transaxial positron emission tomography/computed tomography image of thorax. (c) Hypermetabolic pulmonary nodules (arrow). Furthermore, seen were multiple hypermetabolic lesions in multiple bones (d and e, arrows). Positron emission tomography/computed tomography findings suggested multiple skeletal and pulmonary metastases
See this image and copyright information in PMC

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