Unilateral Brown Fat Suppression on FDG PET/CT-detecting Sympathetic Denervation

We present here a case of primitive neuroectodermal tumor (PNET) who initially presented with involvement of the right 3(rd) rib and underwent neoadjuvant chemotherapy, rib excision, and adjuvant chemoradiotherapy and later underwent posterolateral thoracotomy, pleural nodule excision, and the right...

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Detalles Bibliográficos
Autores principales: Arora, Saurabh, Damle, Nishikant Avinash, Reddy, K. Sreenivasa, Parida, Girish Kumar, Singhal, Abhinav, Arunraj, Sreedharan Thankarajan, Bal, Chandrasekhar, Singh, Roma, Raju, Shobhana, Chakraborty, Dhritiman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2018
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883442/
https://www.ncbi.nlm.nih.gov/pubmed/29643685
http://dx.doi.org/10.4103/ijnm.IJNM_166_17
Descripción
Sumario:We present here a case of primitive neuroectodermal tumor (PNET) who initially presented with involvement of the right 3(rd) rib and underwent neoadjuvant chemotherapy, rib excision, and adjuvant chemoradiotherapy and later underwent posterolateral thoracotomy, pleural nodule excision, and the right 11(th) rib metastatic lesion excision. Follow-up (18)F-FDG PET/CT/computed tomography revealed unilateral brown fat suppression in the form of decreased metabolic uptake in the ipsilateral cervical, axillary, and paravertebral brown fat as compared to metabolically active contralateral brown fat, likely due to paravertebral sympathetic chain damage.

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