Prone 18F-FDG PET/CT changes diagnostic and surgical intervention in a breast cancer patient: some considerations about PET/CT imaging acquisition protocol

Clin Imaging. 2015 May-Jun;39(3):506-9. doi: 10.1016/j.clinimag.2014.11.005. Epub 2014 Nov 18.

Abstract

We report a case study demonstrating the value of prone positioning in positron emission tomography (PET) of a woman with diagnosed breast cancer (BC) addressed to lumpectomy. Surgeon required (18)F-fluorodeoxiglucose ((18)F-FDG) PET study for staging and assessment of lymphnode involvement/metastasis prior to lumpectomy: a whole-body supine study and a prone acquisition of breast. Supine study revealed one lesion, while prone study revealed two lesions. Prone PET findings changed diagnosis and therapeutic intervention for patient who was subsequently subjected to quadrantectomy.

Keywords: Breast cancer; Lumpectomy; Positron emission tomography; Prone acquisition.

Publication types

  • Case Reports

MeSH terms

  • Breast Neoplasms / diagnostic imaging*
  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery*
  • Carcinoma, Ductal / diagnostic imaging
  • Carcinoma, Ductal / pathology
  • Carcinoma, Ductal / surgery
  • Female
  • Fibroadenoma / diagnostic imaging
  • Fibroadenoma / pathology
  • Fibroadenoma / surgery
  • Fluorodeoxyglucose F18*
  • Humans
  • Lymphatic Metastasis
  • Mastectomy, Segmental / methods
  • Middle Aged
  • Positron-Emission Tomography / methods*
  • Prone Position*
  • Radiopharmaceuticals*
  • Tomography, X-Ray Computed / methods*

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18