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Colorectal tubulovillous adenomas identified on fluoro-2-deoxy-d-glucose positron emission tomography/computed

A K Hemandas¹, N K Robson, T Hickish

¹Poole General Hospital, Poole, Dorset BH15 2JB, UK. akhemandas@yahoo.com

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|July 5, 2007

Abstract

Objective:

The aim of this retrospective study was to assess the significance of incidental focal colonic lesions on fluoro-2-deoxy-d-glucose positron emission tomography/computed tomography (FDG PET/CT) scans in patients undergoing staging for noncolorectal cancer.

Method:

Of the 110 patients in our PET/CT database, 10 were found to have abnormally high uptake of tracer in their large bowel.

Results:

Seven patients who underwent further endoscopic evaluation of these abnormalities had intermediate to high-risk adenomatous polyps.

Conclusion:

Benign colonic polyps produce high-intensity focal FDG uptake in large bowel. Endoscopic evaluation is recommended before curative resectional surgery of the presenting cancer where appropriate.

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