False-positive FDG PET/CT due to liver parenchymal injury caused by a surgical retractor Journal Article


Authors: Lyall, A.; Ulaner, G. A.
Article Title: False-positive FDG PET/CT due to liver parenchymal injury caused by a surgical retractor
Abstract: A 70-year-old man underwent partial gastrectomy with pathology demonstrating gastric follicular lymphoma. After surgery, a staging FDG PET/CT study demonstrated an FDG-avid low-attenuation band in the liver. Corresponding MRI demonstrated a high T2 signal abnormality. This was believed to represent liver parenchymal injury due to liver retraction during surgery. The patient was managed conservatively. MRI at 1 month of follow-up demonstrated resolution of the T2 signal abnormality. FDG PET/CT at 6 months of follow-up demonstrated resolution of FDG uptake. Tissue injury from surgical retraction can produce FDG-avid lesions that need to be distinguished from malignancy on PET/CT. © 2012 by Lippincott Williams & Wilkins.
Keywords: aged; case report; cancer staging; nuclear magnetic resonance imaging; follow up; postoperative complication; liver; conservative treatment; fluorodeoxyglucose f 18; computer assisted emission tomography; fluorodeoxyglucose f18; gastrectomy; false positive result; false positive reactions; follicular lymphoma; liver injury; partial gastrectomy; intraoperative complications; surgical instruments; fdg pet; stomach lymphoma; retractor; false-positive; positron-emission tomography and computed tomography; postsurgical inflammation
Journal Title: Clinical Nuclear Medicine
Volume: 37
Issue: 9
ISSN: 0363-9762
Publisher: Lippincott Williams & Wilkins  
Date Published: 2012-09-01
Start Page: 910
End Page: 911
Language: English
DOI: 10.1097/RLU.0b013e31825b23c0
PROVIDER: scopus
PUBMED: 22889789
DOI/URL:
Notes: --- - "Export Date: 1 October 2012" - "CODEN: CNMED" - "Source: Scopus"
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  1. Gary Ulaner
    147 Ulaner
  2. Ashima Lyall
    7 Lyall