Disseminated tuberculosis masquerading as metastatic breast carcinoma on PET-CT

Clinical Nuclear Medicine
Chandan Jyoti DasArun Malhotra

Abstract

PET has an established role in the management of breast cancer. However, F-18 FDG uptake sometimes has been associated with benign disease leading to false positive results. We present a case of a 37-year-old woman who presented with a 3-month history of a left breast lump and palpable left axillary lymph nodes. Whole-body PET-CT scan demonstrated multiple focal areas of intense FDG uptake in the left breast and multiple axillary, cervical, and mediastinal lymph nodes. PET-CT findings mimicked metastatic breast cancer, which was subsequently confirmed as disseminated tuberculosis by mammotome-guided biopsy of the breast lesion and fine needle aspiration biopsy of lymph nodes.

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Citations

Mar 21, 2009·Clinical Nuclear Medicine·Yan XingJianhua Song
Sep 24, 2009·The Indian Journal of Radiology & Imaging·Mj Govindarajan Kallur
May 28, 2010·QJM : Monthly Journal of the Association of Physicians·M E FalagasP Kopterides
Sep 1, 2011·Nuclear Medicine and Molecular Imaging·Rajan RakhejaMarc Hickeson
May 23, 2019·The American Journal of Tropical Medicine and Hygiene·Gianluca QuaglioPiero L Olliaro
Mar 15, 2016·Clinical Nuclear Medicine·Aisheng DongChangjing Zuo
Nov 26, 2019·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Ahmet Yanarateş, Emine Budak
Jul 1, 2021·Case Reports in Infectious Diseases·Victoria CressMichael T Ulrich

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