Indian Journal of Nuclear Medicine
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Year : 2017  |  Volume : 32  |  Issue : 3  |  Page : 214-216

Rectal carcinoma metastases to multiple skeletal muscles-role of f-18 FDG PET/CT

1 Department of Nuclear Medicine and PET CT, Narayana Health City, Bangalore, Karnataka, India
2 Department of Pathology, Narayana Health City, Bangalore, Karnataka, India

Correspondence Address:
Meghana Prabhu
Department of Nuclear Medicine, Basement Floor, MSH Building, Narayana Health City, Hosur Road, Bangalore - 560 099, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijnm.IJNM_167_16

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Rectal carcinoma with metastasis to skeletal muscle is rare. So far, 16 cases of skeletal muscle metastasis from colorectal carcinoma have been documented of which only 5 were rectal carcinomas.[1] We discuss here the case of a 69-year old male, a known case of mucinous adenocarcinoma status post neoadjuvant chemoradiotherapy and abdomino perineal resection, who presented with low backache 4 months post surgery. He was found to have metastasis to multiple skeletal muscles without the involvement of common sites, such as liver and lung. The role of 18-FDG–PET/CT in such cases is rarely reported in the literature. This case highlights the importance of utilizing 18-FDG-PET/CT in detecting sites of skeletal muscle metastasis and thereby guides appropriate management.

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