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Rapidly Progressing Renal Cell Cancer of the Left Native Kidney in a Renal Transplant Recipient With Unusual Sites of Metastasis Demonstrated in Serial 18F-FDG PET/CT

Rangan B K, Kasturi MD, MBBS; Ora, Manish MD, MBBS; Suraj, Ajay Singh MD, MBBS; Parashar, Ashutosh MBBS, DNB; Gambhir, Sanjay MBBS, DNB

doi: 10.1097/RLU.0000000000002723
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An end-stage renal disease patient underwent renal transplantation 18 years back and was on triple immunosuppression for acute rejection. She presented with left-sided abdominal lump and underwent ultrasound and noncontrast CT scan, which revealed an exophytic mass lesion in atrophic left kidney (16.2 × 13.1 × 14 cm). Baseline 18F-FDG PET/CT revealed a large avid exophytic mass (SUVmax 23, 17 × 14 × 13) in atrophic left kidney, with multiple retroperitoneal lymphadenopathies and a suspicious lung nodule. She underwent left open radical nephrectomy. Follow-up PET/CT after 1 month revealed multiple soft tissue deposits in operative bed and other unusual metastatic sites.

From the Department of Nuclear Medicine, SGPGIMS, Lucknow, India.

Received for publication January 28, 2019; revision accepted June 2, 2019.

Author Contributions: K.R., the corresponding author, has taken efforts to obtain the clinical history of the patient in detail and follow him up for the second PET/CT scan. M.O., A.P., and A.S.S. have helped the corresponding actor with the necessary literature search, image editing, and legend placement. G.S., head of the department, has guided our work from the beginning and has given necessary words of advice from his experience of 30 years in nuclear medicine.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Kasturi Rangan B K, MD, MBBS, SGPGIMS, Department of Nuclear Medicine, F Block, SGPGIMS, Lucknow, India 226014. E-mail:

Online date: July 25, 2019

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