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Peliosis Hepatis Shows Isometabolism on 18F-FDG PET/CT: Two Case Reports

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Abstract

Peliosis hepatis (PH) is a rare benign disease that is characterized by multiple blood-filled cystic spaces in the hepatic parenchyma. It is also characterized by a range of radiologic findings that might mimic various diseases, including metastatic liver disease and hepatocellular carcinoma. The findings of PH on 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (CT) are not well reported. We here report two cases of biopsy-proven PH. Both patients had been treated for cancer (advanced gastric carcinoma and rectal adenocarcinoma), and follow-up CT of both cases revealed hepatic lesions with the possibility of metastasis. Examination of 18F-FDG PET/CT images suggested that the lesions were isometabolic, having metabolism similar to that of adjacent hepatic parenchyma. The outcomes of hepatic core-needle biopsies were consistent with peliosis hepatis.

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Conflict of Interest

Minjung Seo, Suk Hyun Lee, Sangwon Han, Changhwan Sung, Da Hye Son, Jong Jin Lee declare no conflicts of interest.

Informed Consent

Our institutional review board has exempted this case report from review. This study has been performed in accordance with the Helsinki Declaration.

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Authors and Affiliations

  1. Departments of Nuclear Medicine, University of Ulsan College of Medicine, Asan Medical Center, 86 Asanbyeongwon-gil, Songpa-gu, Seoul, 138-736, South Korea

    Minjung Seo, Suk Hyun Lee, Sangwon Han, Changhwan Sung & Jong Jin Lee

  2. Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea

    Da Hye Son

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  1. Minjung Seo
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  2. Suk Hyun Lee
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  3. Sangwon Han
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  4. Changhwan Sung
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  5. Da Hye Son
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  6. Jong Jin Lee
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Correspondence to Jong Jin Lee.

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Seo, M., Lee, S.H., Han, S. et al. Peliosis Hepatis Shows Isometabolism on 18F-FDG PET/CT: Two Case Reports. Nucl Med Mol Imaging 48, 309–312 (2014). https://doi.org/10.1007/s13139-014-0281-5

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  • DOI: https://doi.org/10.1007/s13139-014-0281-5

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