Differentiation of an unclear splenic lesion in a patient with cholangiocarcinoma
Constantin Lapa1, Ulrich Steger, Christian O Ritter
1From the Departments of *Nuclear Medicine, and †Surgery, ‡Institute of Radiology, and §Institute of Pathology, Universitätsklinikum Würzburg, Würzburg, Germany.
Clinical Nuclear Medicine
|March 26, 2014
Abstract:
Here we report on a 51-year-old man with the primary diagnosis of cholangiocarcinoma. Workup with CT and contrast-enhanced ultrasound revealed an additional lesion in the spleen, raising the concern for metastasis. Combined FDG PET/CT revealed a different metabolic pattern, making a metastasis unlikely. Histopathology of the splenic lesion confirmed sclerosing angiomatoid nodular transformation, a rare benign lesion of the spleen.
