Hepatoid adenocarcinoma of the pancreas is a rare aggressive tumor with poor prognosis. We describe contrast-enhanced CT and FDG PET/CT findings in a case of pancreatic hepatoid adenocarcinoma with significantly elevated alpha-fetoprotein level presenting as acute pancreatitis. The primary pancreatic tumor diffusely involved the pancreas and showed heterogeneous enhancement mimicking acute necrotizing pancreatitis on contrast-enhanced CT. FDG PET/CT showed intense FDG uptake (SUVmax, 24.5) of the left supraclavicular and retroperitoneal lymph node metastases, suggesting FDG PET/CT may be useful for staging of this aggressive tumor.
机构:
Univ Paris Paris Descartes, Cochin Hosp, AP HP, Dept Nucl Med, 27 Rue Faubourg St Jacques, F-75014 Paris, FranceUniv Paris Paris Descartes, Cochin Hosp, AP HP, Dept Nucl Med, 27 Rue Faubourg St Jacques, F-75014 Paris, France
机构:
IRCCS Humanitas Res Hosp, Nucl Med Unit, Milan, Italy
IRCCS Humanitas Res Hosp, Nucl Med Unit, Via Manzoni 56, I-20089 Rozzano, Lombardy, ItalyIRCCS Humanitas Res Hosp, Nucl Med Unit, Milan, Italy
Lopci, Egesta
Castello, Angelo
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Fdn IRCCS CaGranda, Nucl Med Unit, Milan, ItalyIRCCS Humanitas Res Hosp, Nucl Med Unit, Milan, Italy
Castello, Angelo
Mansi, Luigi
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Interuniv Res Ctr Sustainable Dev CIRPS, Rome, ItalyIRCCS Humanitas Res Hosp, Nucl Med Unit, Milan, Italy