The diagnostic hurdle of an elderly male with bone pain: how 18F-FDG-PET led to diagnosis of a leiomyosarcoma of the adrenal gland

Hanneke W. M. van Laarhoven, Maarten Vinken, Roel Mus, Uta Flucke, Wim J. G. Oyen, Winette T. van der Graaf

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Abstract

It is uncommon for patients to present with bone metastases while the primary tumor is still unknown. The case of a patient with bone metastases as primary presentation of leiomyosarcoma, who was diagnosed after a 18F-FDG PET-CT and a CT-guided biopsy of the adrenal gland is described. If after routine physical, laboratory and radiological investigations no diagnosis can be made, 18F-FDG PET should be added to the conventional work-up of patients with unknown primary cancer. In this way, unnecessary and enduring suffering of symptomatic patients may be prevented
Original languageEnglish
Pages (from-to)469-472
JournalAnticancer research
Volume29
Issue number2
Publication statusPublished - 2009

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