PET-CT demonstration of extensive muscle metastases from breast cancer

Yiyan Liu, Nasrin Ghesani, Neena Mirani, Lionel S. Zuckier

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

Distant hematogenous spread of metastases to muscle is a distinctly uncommon manifestation of malignancy. With respect to breast cancer, occasional reports of solitary muscle metastases have appeared, although diffuse metastases to muscle is distinctly uncommon. We report an 83-year-old woman with breast cancer previously diagnosed and treated 27 years earlier who presented with decreased vision and extraocular muscle palsies. MRI showed nodular thickening of the orbital muscles and biopsy confirmed metastasis from breast cancer. Subsequent PET-CT demonstrated extensive foci of increased F-18 fluorodeoxyglucose (FDG) uptake in muscle and bones throughout the body consistent with metastases. Of interest, the patient had undergone bilateral hip replacement for degenerative disease 1 year previously; pathologic review of the previously resected femoral bone sample revealed no evidence of metastasis at that time.

Original languageEnglish (US)
Pages (from-to)266-268
Number of pages3
JournalClinical nuclear medicine
Volume31
Issue number5
DOIs
StatePublished - May 1 2006
Externally publishedYes

Keywords

  • Breast cancer
  • FDG PET-CT
  • Muscle metastasis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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