From the Department of Nuclear Medicine, SGPGIMS, Lucknow, India.
Clin Nucl Med. 2019 Oct;44(10):e574-e576. doi: 10.1097/RLU.0000000000002723.
An end-stage renal disease patient underwent renal transplantation 18 years back and was on triple immunosuppression for acute rejection. She presented with left-sided abdominal lump and underwent ultrasound and noncontrast CT scan, which revealed an exophytic mass lesion in atrophic left kidney (16.2 × 13.1 × 14 cm). Baseline F-FDG PET/CT revealed a large avid exophytic mass (SUVmax 23, 17 × 14 × 13) in atrophic left kidney, with multiple retroperitoneal lymphadenopathies and a suspicious lung nodule. She underwent left open radical nephrectomy. Follow-up PET/CT after 1 month revealed multiple soft tissue deposits in operative bed and other unusual metastatic sites.
一位终末期肾病患者在 18 年前接受了肾移植，并接受了三联免疫抑制治疗以预防急性排斥反应。她因左侧腹部肿块就诊，并接受了超声和非增强 CT 扫描，结果显示在左肾萎缩区有一个外生性肿块病变（16.2×13.1×14cm）。基线 F-FDG PET/CT 显示左肾萎缩区有一个大的、活跃的外生性肿块（SUVmax 23，17×14×13），伴有多个腹膜后淋巴结病和一个可疑的肺结节。她接受了左开放性根治性肾切除术。术后 1 个月的随访 PET/CT 显示手术床和其他不常见的转移部位有多个软组织沉积物。
