Abstract
A 60-year-old female with no significant medical history presented with hematuria. A computed tomography (CT) scan revealed extensive lymphadenopathy with hypodensities in the liver and spleen, and she was referred for an 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/CT (PET/CT) study to assess for malignancy of unknown primary. PET/CT revealed extensive 18F-FDG avid lymphadenopathy as well as innumerable intensely 18F-FDG avid lung, liver and splenic nodules, highly concerning for malignancy. A PET-guided bone marrow biopsy of the posterior superior iliac spine revealed several non-necrotizing, well-formed granulomas, consistent with sarcoidosis. The patient was managed conservatively and remained clinically well over the subsequent 9 years of follow-up.
Highlights
A 60-year-old female with no significant medical history presented with hematuria
Conflict of Interest: William Makis, Mark Palayew, Christopher Rush and Stephan Probst declare that they have no conflicts of interest
Financial Disclosure: The authors declare that this study has received no financial support
Summary
A 60-year-old female with no significant medical history presented with hematuria. A computed tomography (CT) scan revealed extensive lymphadenopathy with hypodensities in the liver and spleen, and she was referred for an 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/CT (PET/CT) study to assess for malignancy of unknown primary. Tıbbi anamnezinde özellik olmayan 60 yaşında bir kadın hematüri ile başvurdu. Bilgisayarlı tomografide (BT) yaygın lenfadenopatiyle birlikte karaciğer ve dalakta hipodens alanlar saptanması üzerine primeri bilinmeyen malignite değerlendirilmesi amacıyla 18F-fluorodeoksiglukoz (18F-FDG) pozitron emisyon tomografisi/BT (PET/BT) için yönlendirildi.
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