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Pleomorphic Adenoma Mimicking Malignant Tumor in the Parapharyngeal Space in a Patient with Gastric Carcinoma

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Abstract

A 68-year-old man underwent total gastrectomy for stomach cancer. On the follow-up FDG PET/CT image 18 months later, intense focal 18F-fluorodeoxyglucose (FDG) uptake was noted in the right parapharyngeal space. This lesion showed intermediate signal intensity on T1-weighted image and heterogeneous high signal intensity on T2-weighted image. The mass was heterogenously enhanced by gadolinium enhancement. This lesion was pathologically confirmed as pleomorphic adenoma by excision. This case highlights the fact that both benign and malignant lesions in the parotid gland may exhibit intense FDG activity and the need for pathologic confirmation of parotid gland lesions for accurate disease staging.

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References

  1. Batsakis JG, Sneige N (1989) Parapharyngeal and retropharyngeal space diseases. Ann Otol Rhinol Laryngol 98:320–321

    CAS  PubMed  Google Scholar 

  2. Hughes KV 3rd, Olsen KD, McCaffrey TV (1995) Parapharyngeal space neoplasms. Head Neck 17:124–130

    Article  PubMed  Google Scholar 

  3. Olsen KD (1994) Tumors and surgery of the parapharyngeal space. Laryngoscope 104:1–28

    Article  CAS  PubMed  Google Scholar 

  4. Malone JP, Agrawal A, Schuller DE (2001) Safety and efficacy of transcervical resection of parapharyngeal space neoplasms. Ann Otol Rhinol Laryngol 110:1093–1098

    CAS  PubMed  Google Scholar 

  5. Luna-Ortiz K, Navarrete-Aleman JE, Granados-Garcia M, Herrera-Gomez A (2005) Primary parapharyngeal space tumors in a Mexican cancer center. Otolaryngol Head Neck Surg 132:587–591

    Article  PubMed  Google Scholar 

  6. Cardona S, Schwarzbach M, Hinz U, Dimitrakopoulou-Strauss A, Attigah N (2003) Mechtersheimer section sign G, et al. Evaluation of F18-deoxyglucose positron emission tomography (FDG-PET) to assess the nature of neurogenic tumours. Eur J Surg Oncol 29:536–541

    Article  CAS  PubMed  Google Scholar 

  7. Uchida Y, Minoshima S, Kawata T, Motoori K, Nakano K, Kazama T et al (2005) Diagnostic value of FDG PET and salivary gland scintigraphy for parotid tumors. Clin Nucl Med 30:170–176

    Article  PubMed  Google Scholar 

  8. Wang KB, Hung GU, Lin WY (2006) Extraordinarily high F-18 FDG uptake caused by a pleomorphic adenoma of the parotid gland. Clin Nucl Med 31:638–639

    Article  PubMed  Google Scholar 

  9. Ozawa N, Okamura T, Koyama K, Nakayama K, Kawabe J, Shiomi S et al (2006) Retrospective review: usefulness of a number of imaging modalities including CT, MRI, technetium-99 m pertechnetate scintigraphy, gallium-67 scintigraphy and F-18-FDG PET in the differentiation of benign from malignant parotid masses. Radiat Med 24:41–49

    Article  PubMed  Google Scholar 

  10. Matsuda M, Sakamoto H, Okamura T, Nakai Y, Ohashi Y, Kawabe J et al (1998) Positron emission tomographic imaging of pleomorphic adenoma in the parotid gland. Acta Otolaryngol Suppl 538:214–220

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, The Catholic University of Korea, Seoul, South Korea

    Woo Hee Choi, Yong An Chung & Hyung Sun Sohn

  2. Department of Otolaryngology-Head and Neck Surgery, The Catholic University of Korea, Seoul, South Korea

    Young Hak Park

  3. Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, South Korea

    Sang In Shim

  4. Institute of Catholic Integrative Medicine (ICIM), Incheon St. Mary’s Hospital, Incheon, South Korea

    Yong An Chung

  5. Department of Radiology, Incheon Saint Mary’s Hospital, The Catholic University of Korea, Bupyeong-gu, Bupyeong-dong, 665, Incheon, Korea, 403-720

    Yong An Chung

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  1. Woo Hee Choi
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  2. Yong An Chung
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  3. Hyung Sun Sohn
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  4. Young Hak Park
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  5. Sang In Shim
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Correspondence to Yong An Chung.

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Choi, W.H., Chung, Y.A., Sohn, H.S. et al. Pleomorphic Adenoma Mimicking Malignant Tumor in the Parapharyngeal Space in a Patient with Gastric Carcinoma. Nucl Med Mol Imaging 44, 143–145 (2010). https://doi.org/10.1007/s13139-010-0024-1

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  • DOI: https://doi.org/10.1007/s13139-010-0024-1

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