De Novo Presentation of Sarcoidosis on Restaging FDG PET/CT in Rectal Carcinoma With Self-resolution

Clin Nucl Med. 2021 Jan;46(1):e40-e43. doi: 10.1097/RLU.0000000000003239.

Abstract

Sarcoidosis is a systemic disorder of unknown etiology characterized by development of noncaseating granulomas in more than 1 organ system. Development of sarcoidosis during or immediately after chemotherapy and immunotherapy is not uncommon. We present a 61-year-old woman in whom restaging F-FDG PET/CT detected asymptomatic sarcoidosis after neoadjuvant chemoradiotherapy for carcinoma rectum, which resolved spontaneously by the end of adjuvant chemotherapy with no specific treatment. Recognition of anatomic-metabolic pattern of sarcoidosis could prevent erroneous upstaging of the primary malignancy during restaging PET/CT following chemotherapy, and such lesions may show self-resolution.

Publication types

  • Case Reports

MeSH terms

  • Chemotherapy, Adjuvant / adverse effects
  • Female
  • Fluorodeoxyglucose F18*
  • Humans
  • Middle Aged
  • Neoplasm Staging
  • Positron Emission Tomography Computed Tomography*
  • Rectal Neoplasms / diagnostic imaging*
  • Rectal Neoplasms / pathology*
  • Rectal Neoplasms / therapy
  • Remission, Spontaneous
  • Sarcoidosis / etiology*
  • Sarcoidosis / pathology

Substances

  • Fluorodeoxyglucose F18