Image Report

Intramedullary spinal cord metastases from breast cancer: detection with 18F-FDG PET/CT

1 Jul 2013
Laura Gilardi, Stefano Vassallo, Marzia Colandrea, Laura Lavinia Travaini, Giovanni Paganelli

A 35-year-old woman, already treated with surgery, chemotherapy, and radiotherapy for a ductal carcinoma of the left breast, underwent an 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) scan for an increase of the serum markers carcinoembryonic antigen (CEA) and cancer antigen 15.3 (CA 15.3). The scan showed multiple FDG-avid lesions in the liver and bone. The images also detected two areas of uptake in the dorsal and lumbar spinal cord, which were suspicious for metastases; magnetic resonance imaging (MRI) confirmed these lesions.