Department of Nuclear Medicine, West China Hospital of Sichuan University, No. 37.Guoxue Alley, 610041 Chengdu, Sichuan province, P.R. China.
Hell J Nucl Med. 2021 Sep-Dec;24(3):272-273. doi: 10.1967/s002449912412. Epub 2021 Dec 17.
Bilateral renal metastasis for solitary fibrous tumor/hemangiopericytoma (SFT/HPC) is very rare. Herein, we reported a 40-year-old man whose postoperative diagnosis was intracranial SFT/HPC. Fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography (F-FDG PET/CT) and contrast-enhanced CT showed homogeneous enhancement of the bilateral renal mass with mild F-FDG uptake of maximum standardized uptake value (SUVmax) of 3.17. Subsequently, this patient underwent surgery treatment and pathology supported the metastasis of SFT/HPC from central nervous system (CNS). Our case hints us that contrast-enhanced F-FDG PET/CT might be a better one-stop diagnostic procedure for extra-cranial metastases in SFT/HPC patients, and bilateral renal mass with a history of SFT/HPC should consider the possibility of metastasis.
双侧肾脏孤立性纤维肿瘤/血管外皮细胞瘤(SFT/HPC)转移非常罕见。本文报道了 1 例 40 岁男性患者,术后诊断为颅内 SFT/HPC。氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(F-FDG PET/CT)和增强 CT 显示双侧肾脏肿块呈均匀强化,最大标准化摄取值(SUVmax)为 3.17。随后,该患者接受了手术治疗,病理支持中枢神经系统(CNS)SFT/HPC 的转移。本病例提示我们,增强 F-FDG PET/CT 可能是 SFT/HPC 患者颅外转移的一站式更好的诊断程序,且有 SFT/HPC 病史的双侧肾脏肿块应考虑转移的可能性。