Peliosis Hepatis Simulating Metastatic Liver Disease on FDG PET/CT. (July 2018)

• Record Type: Journal Article
• Authors: Levin, Daniel; Hod, Nir; Anconina, Reut; Ezroh Kazap, Dina; Shaco-Levy, Ruthy; Lantsberg, Sophie
• Is Part Of: Clinical nuclear medicine. Volume 43:Number 7(2018)
• Publication Date: 2018-07
• Subjects: peliosis hepatis -- multifocal hypermetabolic lesions -- simulating -- hepatic metastases -- FDG PET/CT; Nuclear medicine -- Periodicals; Radioisotope scanning -- Periodicals; Nuclear Medicine -- Periodicals; 616.07575
• DOI: 10.1097/RLU.0000000000002114
• Languages: English
• ISSNs: 0363-9762

Abstract

Abstract : Abstract: A 20-year-old man with gastrointestinal symptoms and weight loss underwent FDG PET/CT, which revealed multiple hypermetabolic hepatic lesions concerning for metastatic liver disease. The outcome of liver biopsy was consistent with the diagnosis of peliosis hepatis which is a rare benign disease characterized by multiple blood-filled cystic spaces in the hepatic parenchyma. The findings of peliosis on FDG PET/CT are not well reported in the literature. These interesting images emphasize the importance of including peliosis hepatis in the differential diagnosis of multiple hypermetabolic hepatic lesions on FDG PET/CT, which could simulate malignancy.