Kandemir, Zuhal Ankara Atatürk Eğitim ve Araştırma Hastanesi - Nükleer Tıp Kliniği, Turkey , Ozdemir, Elis SB ANKARA ATATORK EGiTiM VE ARAsTIRMA HASTANESi - NOKLEER TIP KLiNiGi, Turkey , Poyraz, Nilufer Yildirim SB ANKARA ATATORK EGiTiM VE ARASTIRMA HASTANESi - NOKLEER TIP KLiNiGi, Turkey , Keskin, Mutlay Ankara Atatürk Eğitim ve Araştırma Hastanesi - Nükleer Tıp Kliniği, Turkey , Turkolmez, seyda SB ANKARA ATATORK EGiTiM VE ARASTIRMA HASTANESi - NOKLEER TIP KLiNiGi, Turkey , Eryilmaz, Hatice Filiz Erdil SB ANKARA ATATORK EGiTiM VE ARASTIRMA HASTANESi - RADYOLOJi KLiNiGi, Turkey

The spial nerve invason detected with 18F- FOG PET/CT in an operated patient with penile cancer

20067

Penile cancers compose less than 1% of all urogenital cancers.Spinal nerve invasion was not reported in the literature before. In this case report,our aim was to present the 18F- FOG PET/ CT images of a patient who had surgery due to penile cancer. Spinal nerve invasion was detected in the PET/CT images and this is correlated with MRI. A 57-year-old patient, after two years he had radical penectomy surgery, had an abdominopelvic CT scan in terms of control. Following the detection of a soft tissue lesion in the right obturator region during abdominopelvic CT imaging, this patient was directed to our clinic for PET/CT scanning.In the PET/CT images, in the right obturator region, high pathologic 18F- FOG uptake was observed in a soft tissue lesion which was considered as metastasis. In addition, at the right S-2 foramen level, a gradually increased FOG uptake was observed. In the MRI scan which was performed for correlation, in the right S2 nerve root, asymmetric contrast uptake was seen. Spinal nerve invasion is dificult to detect .As PET/CT has the advantage to scan whole body, perform anatomical and functional imaging at the same time, it detected the spinal nerve invasion.This inding was also veriied with MRI.

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:Penile cancer , Spinal nerve invasion , 18F , FOG PET , CT

Gulhane Medical Journal

59