FDG PET/CT in a Case of Metastasizing Pleomorphic Adenoma in the Ilium.

Xiao, Zhengguang; Dong, Aisheng; Wang, Yang; Yao, Weiwu; Bai, Yushu · Clin Nucl Med · 2024

case_report · Level V

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Abstract

Although pleomorphic adenomas of the salivary glands are benign tumors, they can metastasize to distant organs without evidence of malignant transformation. We describe FDG PET/CT finding in a case of metastasizing pleomorphic adenoma in the right ilium occurring 22 years after initial surgical resection of a lip pleomorphic adenoma. On FDG PET/CT, the iliac metastasis appeared as an expansile osteolytic lesion with heterogeneous activity. This case indicates that metastasizing pleomorphic adenoma, although rare, should be included in the differential diagnosis of FDG-avid osteolytic bone lesions in patients with a history of salivary gland pleomorphic adenoma.