201. A case of pulmonary cholesterol granuloma: an (18)F-fluorodeoxyglucose positron emission tomography image.
- Author
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Wada H, Sakashita T, Shigemori W, Nagao T, and Nakano Y
- Subjects
- Aged, Female, Granuloma metabolism, Humans, Lung Diseases metabolism, Cholesterol metabolism, Fluorodeoxyglucose F18, Granuloma diagnostic imaging, Lung Diseases diagnostic imaging, Positron-Emission Tomography
- Abstract
A 77-year-old woman with Sjögren's syndrome has been followed for mild interstitial pneumonia. A 2-cm pulmonary nodule was incidentally found in the left lower lobe, and positron emission tomography-computed tomography showed (18)F-fluorodeoxyglucose uptake with a maximum standardized uptake value of 8.78 in this nodule. Although this suggested a malignant disease, transbronchial biopsy of the nodule revealed that it was cholesterol granuloma. It is known that some benign inflammatory diseases show an increased uptake of (18)F-fluorodeoxyglucose, particularly granulomatous lesions like tuberculosis. To our knowledge, this is the first report of (18)F-fluorodeoxyglucose-positron emission tomography findings for cholesterol granuloma. We speculate that increased (18)F-fluorodeoxyglucose uptake with cholesterol granuloma occurs through cellular infiltration and macrophage proliferation, resulting in the activation of glycolysis-like tuberculosis.
- Published
- 2012
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