Abstract
Metastatic tumors or secondary lymphoma of the kidney are rare and can often be missed on conventional computed tomography (CT) imaging. On the other hand, many types of metastatic tumor or lymphoma can be detected clearly as hotspots of elevated uptake on FDG PET. However, excreted FDG present in the urinary tract mimics these findings and interferes with image reading. Careful investigation of the renal cortex by FDG PET and review of anatomical images, such as the findings of CT and MRI, have important roles in the detection of renal tumor. Here, we present three cases of solitary metastatic/secondary tumor of the kidney, and discuss the features of the lesions on FDG PET in comparison with their appearance on CT.
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Hofer C, Kubler H, Hartung R, Breul J, Avril N. Diagnosis and monitoring of urological tumors using positron emission tomography.Eur Urol 2001; 40: 481–487.
Bracken RB, Chica G, Johnson DE, Luna M. Secondary renal neoplasms: an autopsy study.South Med J 1979; 72: 806–807.
Pollack HM, Banner MP, Amendola MA. Other malignant neoplasms of the renal parenchyma.Semin Roentgenol 1987; 22: 260–274.
Klinger M. Secondary tumors of the genitourinary tract.J Urol 1951; 65: 144–153.
Abrams H, Spira R, Goldstein N. Metastases in carcinoma: analysis of 1000 autopsied cases.Cancer 1950; 3: 74–85.
Wagle DG, Moore RH, Murphy GP. Secondary carcinomas of the kidney.J Urol 1975; 114: 30–32.
Newsam JE, Tulloch WS. Metastatic tumours in the kidney.Br J Urol 1966; 38: 1–6.
Choyke PL, White EM, Zeman RK, Jaffe MH, Clark LR. Renal metastases: clinicopathologic and radiologic correlation.Radiology 1987; 162: 359–363.
Peterson RO.Urologic Pathology. Philadelphia; Lippincott, 1992: 127.
Sanchez-Ortiz RF, Madsen LT, Bermejo CE, Wen S, Shen Y, Swanson DA, et al. A renal mass in the setting of a nonrenal malignancy: When is a renal tumor biopsy appropriate?Cancer 2004; 15;101: 2195–2201.
Schrevens L, Lorent N, Dooms C, Vansteenkiste J. The role of PET scan in diagnosis, staging, and management of non-small cell lung cancer.Oncologist 2004; 9: 633–643.
Verhagen AF, Bootsma GP, Tjan-Heijnen VC, van der Wilt GJ, Cox AL, Brouwer MH, et al. FDG-PET in staging lung cancer: how does it change the algorithm?Lung Cancer 2004; 44: 175–181.
Valk PE, Pounds TR, Hopkins DM, Haseman MK, Hofer GA, Greiss HB, et al. Staging non-small cell lung cancer by whole-body positron emission tomographic imaging.Ann Thorac Surg 1995; 60: 1573–1582.
Weder W, Schmid RA, Bruchhaus H, Hillinger S, von Schulthess GK, Steinert HC. Detection of extrathoracic metastases by positron emission tomography in lung cancer.Ann Thorac Surg 1998; 66: 886–893.
Leisure GP, Vesselle HJ, Faulhaber PF, O’Donnell JK, Adler LP, Miraldi F. Technical improvements in fluorine-18-FDG PET imaging of the abdomen and pelvis.J Nucl Med Technol 1997; 25: 115–119.
Kang DE, White RL Jr, Zuger JH, Sasser HC, Teigland CM. Clinical use of fluorodeoxyglucose F 18 positron emission tomography for detection of renal cell carcinoma.J Urol 2004; 171: 1806–1809.
Lechevallier E, Andre M, Barriol D, Daniel L, Eghazarian C, De Fromont M, et al. Fine-needle percutaneous biopsy of renal masses with helical CT guidance.Radiology 2000; 216: 506–510.
Wood BJ, Khan MA, McGovern F, Harisinghani M, Hahn PF, Mueller PR. Imaging guided biopsy of renal masses: indications, accuracy and impact on clinical management.J Urol 1999; 161: 1470–1474.
Gibbons RP, Bush WH Jr, Burnett LL. Needle tract seeding following aspiration of renal cell carcinoma.J Urol 1977; 118:865–867.
Kiser GC, Totonchy M, Barry JM. Needle tract seeding after percutaneous renal adenocarcinoma aspiration.J Urol 1986; 136: 1292–1293.
Slywotzky C, Maya M. Needle tract seeding of transitional cell carcinoma following fine-needle aspiration of a renal mass.Abdom Imaging 1994; 19: 174–176.
Campbell SC, Novick AC, Herts B, Fischler DF, Meyer J, Levin HS, et al. Prospective evaluation of fine needle aspiration of small, solid renal masses: accuracy and morbidity.Urology 1997; 50: 25–29.
Herts BR, Baker ME. The current role of percutaneous biopsy in the evaluation of renal masses.Semin Urol Oncol 1995; 13:254–261.
Goethuys H, Van Poppel H, Oyen R, Baert L. The case against fine-needle aspiration cytology for small solid kidney tumors.Eur Urol 1996; 29: 284–287.
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Kaneta, T., Hakamatsuka, T., Yamada, T. et al. FDG PET in solitary metastastic/secondary tumor of the kidney: A report of three cases and a review of the relevant literature. Ann Nucl Med 20, 79–82 (2006). https://doi.org/10.1007/BF02985596
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DOI: https://doi.org/10.1007/BF02985596