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Meningioma Metastatic to the Lung Detected by FDG Positron Emission Tomography

Hutchins, Eric B., MD; Graves, Alan, MD; Shelton, Brixey, MD

doi: 10.1097/01.rlu.0000135270.71585.72
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A 48-year-old man presented with a meningioma of the right middle cranial fossa and skull base. After initial subtotal resection and radiation therapy, he underwent 5 operations for tumor recurrence over the next 2 years. Twenty-three months after the initial presentation, fluorine-18 fluorodeoxyglucose (FDG) positron emission tomography (PET) demonstrated a hypermetabolic focus in the right lung. Computed tomography of the chest demonstrated multiple pulmonary nodules with the largest nodule (2.0 × 2.1 cm) corresponding to the abnormal pulmonary activity on PET imaging. Fluoroscopy-guided fine-needle aspiration (FNA) yielded tissue “consistent with meningioma” and similar to the specimen of recurrent meningioma of the skull base.

From the Department of Nuclear Medicine Methodist LeBonheur Healthcare, Memphis, Tennessee.

Received for publication January 24, 2003; revision accepted January 18, 2004.

Reprints: Eric B. Hutchins, MD, Department of Nuclear Medicine, Methodist University Hospital, 1265 Union Ave., Memphis, TN 38104. E-mail: Bhutch1970@aol.com

© 2004 Lippincott Williams & Wilkins, Inc.