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KMID : 1148920150490010069
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Nuclear Medicine and Molecular Imaging
2015 Volume.49 No. 1 p.69 ~ p.72
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Retroperitoneal Bronchogenic Cyst Presenting Paraadrenal Tumor Incidentally Detected by 18F-FDG PET/CT
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Yoon Ye-Ri
Choi Ji-Youn
Lee Sang-Mi
Kim Yeo-Joo
Cho Hyun-Deuk
Lee Jeong-Won
Jeon Youn-Soo
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Abstract
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A follow-up 18F-fluorodeoxyglucose (18F-FDG) PET/CT scan of a 57-year-old asymptomatic male who had undergone total thyroidectomy for thyroid cancer revealed a 5.0 × 4.0-cm, well-defined, ovoid-shaped mass around the left adrenal gland without definite FDG uptake. On the adrenal CT scan, the left paraadrenal tumor showed high attenuation on the precontrast scan without enhancement. The average Hounsfield unit (HU) was 58.1 on the precontrast scan and 58.4 on the postcontrast scan. The patient underwent laparoscopic adrenalectomy for resection of the left paraadrenal tumor. The final histopathologic examination revealed a bronchogenic cyst. Although retroperitoneal bronchogenic cysts are rare, they should be considered in the differential diagnosis of retroperitoneal cystic tumors. The preoperative diagnosis is difficult, but a contrast-enhanced CT scan or 18F-FDG PET/CT scan may be useful for differentiating hyperattenuated cysts from other soft tissue masses.
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KEYWORD
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Bronchogenic cyst, Retroperitoneal cyst, CT, 18F-FDG PET/CT
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