Tehran University of Medical Sciences

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Spinal Cord Metastasis From Testicular Seminoma Detected by F-18 Fdg Pet/Ct Study Prior to Neurological Symptoms: An Unusual Presentation



Fardesfahani A1 ; Marzban M1 ; Emamiardekani A1 ; Hassanzadehrad A1 ; Fallahi B1 ; Beiki D1 ; Geramifar P1 ; Eftekhari M1
Authors
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Authors Affiliations
  1. 1. Research Center for Nuclear Medicine, Shariati Hospital, Tehran University of Medical Sciences, N Kargar Ave., Tehran, 1411713135, Iran

Source: Iranian Journal of Nuclear Medicine Published:2016

Abstract

A 60-year-old patient with testicular seminoma was referred for F-18 FDG PET/CT Study to evaluate recurrence. In addition to hypermetabolic cervical, mediastinal and hilar lymph node tumoral metastases, segmental intense FDG uptake along the lumbar spinal cord suggestive of tumoral metastasis was noted which quite an unusual presentation is. At the time of PET study the patient was symptomless, and neurological symptoms and signs associated with spinal cord metastasis developed only several days afterwards, emphasizing the role of FDG PET study in early detection of spinal cord metastasis. The patient underwent radiotherapy of the spinal cord with consequent clinical improvement.