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FDG PET-CT in Adrenal Multiple Myeloma
Sayak Choudhury1, Nilendu Purandare, Archi Agrawal
1Department of Nuclear Medicine and Molecular Imaging, Tata Memorial Hospital, Mumbai, India.
Clinical Nuclear Medicine
|July 18, 2018
Summary
Extramedullary involvement in multiple myeloma is uncommon but serious. This case highlights the use of FDG PET-CT to identify rare adrenal gland involvement in multiple myeloma patients.
Area of Science:
- Oncology
- Nuclear Medicine
- Radiology
Background:
- Multiple myeloma is a hematologic malignancy.
- Extramedullary involvement signifies advanced disease and a poorer prognosis.
- Adrenal gland involvement is an exceptionally rare manifestation of multiple myeloma.
Observation:
- A patient with known multiple myeloma presented with suspected extramedullary disease.
- FDG PET-CT imaging was performed to evaluate the extent of the disease.
- The imaging revealed findings suggestive of adrenal gland involvement.
Findings:
- FDG PET-CT demonstrated hypermetabolic activity in the adrenal glands.
- These findings are consistent with extramedullary multiple myeloma infiltration.
- The case illustrates the utility of FDG PET-CT in diagnosing rare sites of myeloma involvement.
Implications:
- Early detection of extramedullary disease, including rare adrenal involvement, is crucial for treatment planning.
- FDG PET-CT can be a valuable tool for identifying unusual sites of multiple myeloma.
- Understanding these rare presentations can improve patient management and outcomes.
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