Iliac artery angiosarcoma is rare, and bone metastasis as its presenting initial symptom is extremely rare. A 67-year-old man with a history of low back pain presented with multiple MRI-identified lumbar and sacrum lesions highly suggestive of bone metastasis. On subsequent PET/CT scan, in addition to multiple vertebrae and pelvis hypermetabolism, a lesion with intense focal uptake was discovered within the lumen of left common iliac artery. Dual-time point quantitative analysis revealed that the lesion-to-liver ratio of SUVmax was significantly increased in the delayed phase. Biopsy confirmed the lesion as a primary iliac artery angiosarcoma.
From the Departments of *Nuclear Medicine and
†Pathology, China-Japan Union Hospital of Jilin University, Changchun, China; and
‡Department of Interventional, Qianwei Hospital of Jilin Provincial, Changchun, China.
Received for publication August 1, 2018; revision accepted November 10, 2018.
Conflicts of interest and sources of funding: none declared.
Correspondence to: Bin Chen, MD, Department of Nuclear Medicine, China-Japan Union Hospital of Jilin University, No. 126 Xiantai St, Changchun, 130000, China. E-mail: firstname.lastname@example.org.