Abstract
We report a case of maxillary sinus (MS) aspergillosis studied by positron emission tomography (PET) with F-18 fluorodeoxyglucose (FDG) and by67Ga-citrate (Ga) single photon emission computed tomography (SPECT). The FDG uptake existed in the lesion and along the inflammatory edematous mucous membrane of the MS. Ga uptake occurred not only in the lesion and in the mucous membrane but also in the MS. Relative quantification, the standardized uptake value (SUV) of the lesion showed relatively high FDG uptake (3.7). But in other reports, many malignant head and neck tumors had a SUV below 3.7. It was thought to be difficult to differentiate between aspergillosis and malignant head and neck tumors by FDG-PET.
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Sarti EJ, Blaugrund SM, Lin PT, Camins MB. Paranasal sinus disease with intracranial extension: aspergillosis versus malignancy.Laryngoscope 98: 632–635, 1988.
Shirouzu K, Hasuo K, Yasumori K, Mizushima A, Kuroiwa T, Masuda K, et al. MR imaging in paranasal and intracranial aspergillosis.Nippon Acta Radiologica 51: 768–774, 1991.
Lewis PJ, Salama A. Uptake of fluorine-18-fluorodeoxyglucose in sarcoidosis.J Nucl Med 35: 1647–1649, 1994.
Griffeth LK, Dehdashti F, McGuire AH, McGuire DJ, Perry DJ, Moerlein SM, et al. PETevaluation of soft-tissue masses with fluorine-18-fluoro-2-deoxy-D-glucose.Radiology 182: 185–194, 1992.
Strauss LG, Clorius JH, Schlag P, Lehner B, Kimmig B, Engenhart R, et al. Recurrence of colorectal tumors: PET evaluation.Radiology 179: 329–332, 1989.
Kubota K, Matsuzawa T, Fujiwara T, Ito M, Hatazawa J, Ishiwata K, et al. Differential diagnosis of lung tumor with positron emission tomography: a prospective study.J Nucl Med 31: 1927–1933, 1990.
Milroy CM, Blanshard JD, Lucas S, Michaels L. Aspergillosis of the nose and paranasal sinuses.J Clin Pathol 42: 123–127, 1989.
Zinreich SJ, Kennedy DW, Malat J, Curtin HD, Epstein JI, Huff LC, et al. Fungal sinusitis: Diagnosis with CT and MR imaging.Radiology 169: 439–144, 1988.
Sanger VK, Gini A, Fuentes R, Holmes R. Diagnosis of a Liver Abscess with Ga-67 and Radiocolloid Tomography.Clin Nucl Med 14: 443–445, 1989.
Yamada S, Kubota K, Kubota R, Ido T, Tamahashi N. High Accumulation of Fluorine-18-Fluorodeoxyglucose in Turpentine-Induced Inflammatory Tissue.J Nucl Med 36: 1301–1306, 1995.
Reisser CH, Haberkorn U, Strauss LG. The relevance of positron emission tomography for the diagnosis and treatment of head and neck tumors.J Otolaryngol 22: 231–238, 1993.
Laubenbacher C, Saumweber D, Wagner-Manslau C, Kau RJ, Herz M, Avril N, et al. Comparison of Fluorine-18-Fluorodeoxyglucose PET, MRI and Endoscopy for Staging Head and Neck Squamous-Cell Carcinomas.J Nucl Med 36: 1747–1757, 1995.
Patz EF, Lowe VJ, Hoffman JM, Paine SS, Burrowes P, Coleman RE, et al. Focal pulmonary abnormalities: evaluation with F-18 fluorodeoxyglucose PET scanning.Radiology 188: 487–490, 1993.
Larson SM. Cancer or inflammation? A Holy Grail for Nuclear Medicine.J Nucl Med 35: 1653–1655, 1994.
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Kawabe, J., Okamura, T., Koyama, K. et al. Relatively high F-18 fluorodeoxyglucose uptake in paranasal sinus aspergillosis: A PET study. Ann Nucl Med 12, 145–148 (1998). https://doi.org/10.1007/BF03164779
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DOI: https://doi.org/10.1007/BF03164779