68Ga-FAPI-04 PET/CT in a Small Sarcomatoid Renal Cell Carcinoma With Widespread Metastases

Author:

Dong Aisheng1,Yang Bo2,Bai Yushu3,Zuo Changjing1

Affiliation:

1. Nuclear Medicine

2. Urology

3. Orthopedics, The First Affiliated Hospital of Naval Medical University (Changhai Hospital), Shanghai, China.

Abstract

Abstract Sarcomatoid renal cell carcinoma is an uncommon high-grade malignancy with poor prognosis. We describe 68Ga-FAPI-04 PET/CT findings in a patient with a small (1.8 cm in the maximum diameter) sarcomatoid clear cell renal cell carcinoma with widespread metastatic disease. Both the primary renal tumor and its metastases in bones, lymph nodes, adrenals, and liver showed increased 68Ga-FAPI-04 uptake. The primary renal tumor showed hypovascularity on contrast-enhanced CT, mimicking papillary renal cell carcinoma. This case indicates FAPI PET/CT may be useful for detecting and staging of this unusual malignancy.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Radiology, Nuclear Medicine and imaging,General Medicine

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