Abstract: We report a rare case of adrenal epithelioid angiosarcoma metasta-tic to the epicardium diagnosed by 18F-FDG PET/CT. A 61-year-old man presented with fatigue, unintentional weight loss, night sweats, and elevated inflammatory markers. FDG PET/CT demonstrated intense uptake in a space-occupying lesion in the right adrenal gland and increased uptake in a lesion adjacent to the heart. Histopathologic evaluation revealed an epithelioid angiosarcoma of the right adrenal gland metastatic to the epicardium. FDG PET/CT is a valuable tool for characterization and making the therapeutic decision concerning indeterminate or suspicious adrenal tumors.
From the *Department of Diagnostic and Interventional Radiology and †Institute of Pathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Received for publication March 9, 2012; and revision accepted May 14, 2012.
Conflicts of interest and sources of funding: none declared.
Reprints: Thorsten Derlin, MD, Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, D-20246 Hamburg-Eppendorf, Germany. E-mail: firstname.lastname@example.org.