Myxoid liposarcoma - abdominal metastasis

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

Previous lump resection in the thigh.

Patient Data

Age: 25 years
Gender: Male

Abdomen and pelvis

ct
This study is a stack
Axial C+ portal
venous phase
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Sagittal C+ portal
venous phase
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Info

Large and relatively well-defined mass likely in the peritoneal cavity, at the root of the mesentery to the left, showing heterogenous enhancement due to internal areas of low attenuation. No associated lymphadenopathy. The solid and hollow abdominal viscera are normal. 

F-18 FDG PET-CT

Nuclear medicine
This study is a stack
18F-FDG
PET-CT
This study is a stack
MIP
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Info

The mass has low, if any, FDG activity. 

Case Discussion

This patient has had a myxoid liposarcoma resected a few years ago. Although no prior PET scan available for comparison, these tumors are known to demonstrate low-grade FDG activity. 

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