Abstract
We present a patient with anaemia and an increased erythrocyte sedimentation rate in which the diagnosis of a T3 renal cell carcinoma with a level IV tumour thrombus was made with fusion of CT and [F-18]-fluorodeoxyglucose (FDG)-positron emission tomography (PET) imaging. The tumour thrombus would have been missed just by using CT scanning prior to the operation. Only by means of FDG-PET imaging the suspicion of a thrombus was made and this was confirmed by transoesophageal ultrasound. CT with a scan delay of 60 s was chosen because CT indication was anaemia with elevated erythrocyte sedimentation rate. This CT protocol may not be optimal for good opacification of the vena cava inferior. Determination of the true level of tumour thrombus is of utmost importance for planning the operation.
Original language | English |
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Number of pages | 3 |
Journal | European Journal of Radiology Extra |
Volume | 66 |
Issue number | 2 |
DOIs | |
Publication status | Published - 1-May-2008 |
Keywords
- Positron emission tomography
- Renal cell carcinoma
- Tumour thrombus