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Research ArticleTeaching Case Studies

Isolated Malignant Portal Vein Thrombus in Colon Carcinoma: A Rare Finding on 18F-FDG PET/CECT

Tarun Kumar Jain, Ajay Yadav, Hemant Malhotra, Nitin Khunteta and Guman Singh
Journal of Nuclear Medicine Technology June 2021, 49 (2) 190-192; DOI: https://doi.org/10.2967/jnmt.120.249532
Tarun Kumar Jain
1Department of Nuclear Medicine, Mahatma Gandhi Medical College and Hospital, Jaipur, India;
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Ajay Yadav
2Department of Medical Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, India;
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Hemant Malhotra
2Department of Medical Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, India;
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Nitin Khunteta
3Department of Surgical Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, India; and
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Guman Singh
4Department of Radiation Oncology, Mahatma Gandhi Medical College and Hospital, Jaipur, India
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    FIGURE 1.

    18F-FDG PET maximum-intensity-projection image (A) reveals few hot spots in paramedian plane of right upper abdominal region and in pelvic region. Transaxial (B and C) and sagittal (D and E) CT images (B and D) and PET/CECT images (C and E) of pelvis reveal 18F-FDG–avid (SUVmax, ∼21.7) long segmental asymmetric wall thickening (arrows) in sigmoid colon, with perilesional stranding and nodularity.

  • FIGURE 2.
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    FIGURE 2.

    Transaxial CT images (A and C) and PET/CECT images (B and D) of upper abdomen reveal 18F-FDG–avid filling defect in main portal vein (solid arrows; SUVmax, 18.3) and left portal vein (dashed arrows; SUVmax, 16.9).

  • FIGURE 3.
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    FIGURE 3.

    Sagittal (A and C) and coronal (B and D) CT images (A and B) and PET/CECT images (C and D) of abdomen reveal 18F-FDG–avid filling defect in main portal vein (solid arrows) and left portal vein (dashed arrows).

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Journal of Nuclear Medicine Technology: 49 (2)
Journal of Nuclear Medicine Technology
Vol. 49, Issue 2
June 1, 2021
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Isolated Malignant Portal Vein Thrombus in Colon Carcinoma: A Rare Finding on 18F-FDG PET/CECT
Tarun Kumar Jain, Ajay Yadav, Hemant Malhotra, Nitin Khunteta, Guman Singh
Journal of Nuclear Medicine Technology Jun 2021, 49 (2) 190-192; DOI: 10.2967/jnmt.120.249532

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Isolated Malignant Portal Vein Thrombus in Colon Carcinoma: A Rare Finding on 18F-FDG PET/CECT
Tarun Kumar Jain, Ajay Yadav, Hemant Malhotra, Nitin Khunteta, Guman Singh
Journal of Nuclear Medicine Technology Jun 2021, 49 (2) 190-192; DOI: 10.2967/jnmt.120.249532
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Keywords

  • malignant portal vein thrombus
  • colon carcinoma
  • 18F FDG PET-contrast enhanced CT
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