Synchronous Hepatocellular Carcinoma and Cholangiocellular Carcinoma on <sup>18</sup>F-FDG PET/CT
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P: 136-137
October 2018

Synchronous Hepatocellular Carcinoma and Cholangiocellular Carcinoma on 18F-FDG PET/CT

Mol Imaging Radionucl Ther 2018;27(3):136-137
1. Bezmialem Vakıf University Faculty of Medicine, Department of Nuclear Medicine, İstanbul, Turkey
2. Bezmialem Vakıf University Faculty of Medicine, Department of Medical Oncology, İstanbul, Turkey
3. Bezmialem Vakıf University Faculty of Medicine, Department of Radiation Oncology, İstanbul, Turkey
No information available.
No information available
Received Date: 06.11.2017
Accepted Date: 12.06.2018
Publish Date: 09.10.2018
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ABSTRACT

A 43-year-old male patient presented with a mass lesion on the right liver lobe, segment 5, in radiological imaging and elevated alpha-fetoprotein levels (323 ng/mL) compatible with hepatocellular carcinoma (HCC). Positron emission tomography/computed tomography (PET/CT) images showed background level 18F-FDG uptake in the mass lesion. In addition, a secondary focus of increased 18F-FDG uptake was detected on the left liver lobe, segment 2, approximately 1,5 cm in diameter. Histopathological examination revealed HCC in the larger mass lesion with a lower 18F-FDG uptake, and cholangiocellular carcinoma in the smaller mass lesion with a higher 18F-FDG uptake. To our knowledge, this is the first case report of two histopathologically different primary malignant liver tumors in two distinct segments of the liver detected by PET/CT.

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