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Review ArticleTeaching Case Studies

18F-FDG PET/CT Finding of Drop Metastases from Germ Cell Tumor of Pineal Gland

Tarun K. Jain, Rajender K. Basher, Ashwani Sood, Bhagwant R. Mittal, Gaurav Prakash and Anmol Bhatia
Journal of Nuclear Medicine Technology June 2017, 45 (2) 114-115; DOI: https://doi.org/10.2967/jnmt.116.185850
Tarun K. Jain
1Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Rajender K. Basher
1Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Ashwani Sood
1Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Bhagwant R. Mittal
1Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Gaurav Prakash
2Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India; and
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Anmol Bhatia
3Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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    FIGURE 1.

    (A and B) On T1-weighted axial CT image, lesion in pineal gland region was isointense before contrast administration (A) and enhanced afterward (B). (C) Sagittal images of dorsolumbar spine after contrast administration showed intensely enhancing sheetlike soft tissue in epidural space.

  • FIGURE 2.
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    FIGURE 2.

    (A) 18F-FDG PET/CT maximum-intensity-projection image revealed abnormal uptake in lumbar spine region. (B–E) Transaxial (top) and sagittal (bottom) CT (left) and PET/CT (right) images of head revealed avidly enhancing nodular lesion (∼1.4 × 1.3 cm) in pineal gland (arrows). (F and G) Sagittal CT (left) and PET/CT (right) images revealed increased uptake in ill-defined densities in spinal canal extending from L1 to L5 (arrows).

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Journal of Nuclear Medicine Technology: 45 (2)
Journal of Nuclear Medicine Technology
Vol. 45, Issue 2
June 1, 2017
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18F-FDG PET/CT Finding of Drop Metastases from Germ Cell Tumor of Pineal Gland
Tarun K. Jain, Rajender K. Basher, Ashwani Sood, Bhagwant R. Mittal, Gaurav Prakash, Anmol Bhatia
Journal of Nuclear Medicine Technology Jun 2017, 45 (2) 114-115; DOI: 10.2967/jnmt.116.185850

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18F-FDG PET/CT Finding of Drop Metastases from Germ Cell Tumor of Pineal Gland
Tarun K. Jain, Rajender K. Basher, Ashwani Sood, Bhagwant R. Mittal, Gaurav Prakash, Anmol Bhatia
Journal of Nuclear Medicine Technology Jun 2017, 45 (2) 114-115; DOI: 10.2967/jnmt.116.185850
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Keywords

  • germ cell tumor
  • pineal gland
  • spinal seeding
  • 18F-FDG PET/CT
  • drop metastases
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