Indian Journal of Nuclear Medicine
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Year : 2020  |  Volume : 35  |  Issue : 4  |  Page : 353-354

Unsuspected intramedullary spinal cord metastasis detected by FDG PET/CT

1 Department of Nuclear Medicine, Mohammed V Military Teaching Hospital, Mohammed V University of Rabat, BP, Morocco
2 Department of Radiotherapy, Mohammed V Military Teaching Hospital, Mohammed V University of Rabat, BP, Morocco

Correspondence Address:
Dr. Omar Ait Sahel
Avenue des FAR, Hay Ryad, 11001, Rabat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijnm.IJNM_150_20

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Intramedullary spinal cord metastases (SCMs) are extremely rare. Here, we report a case of a 60-year-old man with a history of right nonsmall cell lung cancer treated by concomitant radiochemotherapy who complained, 9 months after treatment completion, of chest pain, breath shortness, and more recently back pain. An 18F-FDG PET/CT was performed as part of the restaging process and showed a hypermetabolic mass of the right lung in addition to ipsilateral mediastinal hypermetabolic lymph nodes. There was also an FDG avid lesion of thoracic spinal cord at the T11–T12 level consistent with SCM as confirmed by MRI.

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