TY - JOUR
TI - Granuloma Mimicking Local Recurrence on PET/CT after Liver Resection of Colorectal Liver Metastasis: A Case Report.
AU - Pantiora, Eirini V.
AU - Kontis, Elissaios A.
AU - Michalaki, Vasiliki
AU - Primetis, Elias
AU - Vezakis, Antonios
AU - Polydorou, Andreas
AU - Fragulidis, Georgios P.
JO - CUREUS
PY - 2016
VL - 8
TODO - 8
SP - e717
PB - 
SN - null
TODO - 10.7759/cureus.717
TODO - PET/CT, colorectal cancer, fdg-pet, granuloma, liver metastases, metastasectomy
TODO - Positron emission tomography-computed tomography (PET/CT) improves the diagnostic interpretation of fluorine-18 fluorodeoxyglucose (18F-FDG ) PET and CT in oncologic  patients and has an impact on both diagnostic and therapeutic aspects of patient  management. However, false positive findings from the PET/CT imaging should be taken  into consideration as they mislead physicians into improper therapeutic actions. We  present a 48-year-old female patient with a history of left colectomy for colorectal  cancer and subsequent liver metastasectomy. After one year of follow-up, she  presented with a highly suspicious lesion in the liver, which was confirmed on  PET/CT as a metastatic liver tumor. Consequently, the patient underwent surgical  excision of the tumor, and the definitive histological diagnosis showed a  granulomatous tissue with giant cells and foreign body tissue reaction. Based on  this report, we briefly review the dangerous pitfalls from radiological and PET/CT  imaging concerning the preoperative diagnostic workup examination, as they may  significantly alter the treatment plan in oncologic patients.
ER -