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Classic Biphasic Pulmonary Blastoma Demonstrated by 18F-FDG PET/CT

Keu, Khun Visith MD*; Berry, Gerald J. MD; Quon, Andrew MD*

doi: 10.1097/RLU.0b013e31828e987c
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A 75-year-old nonsmoker woman was referred for the evaluation of a nonsecretory left adrenal lesion. An abdominal contrast-enhanced CT showed an incidental left lower lobe mass, which was confirmed on a chest contrast-enhanced CT. A 18F-FDG PET/CT showed a hypermetabolic tumor without nodal or distant metastasis. She underwent a lobectomy, and the final pathology reported a classic biphasic pulmonary blastoma, which is an uncommon histological form of malignant lung neoplasm. This case highlighted the glucose avidity of this rare and aggressive cancer.

From the *Division of Nuclear Medicine and Molecular Imaging, Department of Radiology, and †Department of Pathology, Stanford University Medical Center, Stanford, CA.

Received for publication October 24, 2012; revision accepted February 21, 2013.

Conflicts of interest and sources of funding: none declared.

Reprints: Andrew Quon, MD, Division of Nuclear Medicine, Stanford University Medical Center, 300 Pasteur Dr, H2200, Stanford, CA 94305. E-mail: aquon@stanford.edu.

© 2014 by Lippincott Williams & Wilkins