2007
DOI: 10.1510/icvts.2007.154039
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Pecoma of the lung: a benign tumor with extensive 18F-2-deoxy-D-glucose uptake

Abstract: A case of lung pecoma (i.e. tumors showing perivascular epithelioid cell differentiation) with extensive 18F-2-deoxy-D-glucose (FDG) uptake in PET/CT study is reported. Pecomas of the lung--which include the better known clear cell 'sugar' tumor--are a subset of extremely rare lung tumors which usually react positively to both melanocytic and smooth muscle markers. Although widely presumed as benign in computed tomography (CT) and positron emission tomography (PET)/CT studies they depict as malignant, thus com… Show more

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Cited by 27 publications
(20 citation statements)
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“…Only few cases have reported the interval growth of CCTLs. However, previous reports only stated an interval growth without mentioning the exact change in size (9,12) or suggested a maximum volume doubling time estimated from initial normal chest radiograph (13). No previous reports remarked on serial imaging follow up of CCTL.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Only few cases have reported the interval growth of CCTLs. However, previous reports only stated an interval growth without mentioning the exact change in size (9,12) or suggested a maximum volume doubling time estimated from initial normal chest radiograph (13). No previous reports remarked on serial imaging follow up of CCTL.…”
Section: Discussionmentioning
confidence: 99%
“…Because of the rich vascular stroma, most CCTLs show homogenous intense enhancement on CT scans. Kim et al (8), reported an early wash-in and washout pattern of CCTL on dynamic CT. CCTLs usually show no 18 F-2-deoxy-D-glucose (FDG) uptake, but a 2.8-cm benign CCTL that showed extensive FDG uptake has been reported (9).…”
Section: Discussionmentioning
confidence: 99%
“…That is exactly the reason why long-term follow-up of PEComa's is recommended. Some studies reported possible use of positron emission tomography in tumor follow-up (16).…”
Section: Discussionmentioning
confidence: 99%
“…[9–12] Certain clinicopathologic features such as a diameter >2.5 cm, the presence of symptoms, and extensive necrosis or abundant mitoses visible under an optical microscope are correlated with more aggressive behavior. [1315] Surgical resection is an acceptable curative approach for CCTL, as the tumor's benign behavior is not invariable, and chemotherapy or radiotherapy has not demonstrated significant benefits for malignant CCTL. [16] …”
Section: Discussionmentioning
confidence: 99%