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Korean Journal of Head & Neck Oncology 2011;27(2):218-221.
Published online November 30, 2011.
Granuloma Resulting from the Cervical Metallic Plate, Masquerading as Posterior Pharyngeal Wall Cancer
Seung Woo Kim;Youngbae Kim;Dae Jin Sah
하인두 후벽암으로 오인된 경추 내고정 금속판 삽입 후 발생한 육아종 1예
김승우;김영배;사대진
Abstract
The anterior approach to the cervical spine surgery is associated with possible complications such as dyspha-gia, hoarseness and granuloma formation etc. Because of orthopedic metallic plates, the increasing or focal up-take pattern may be demonstrated in 18F-FDG PET/CT scan. A 67-year-old-man came to our department, com-plained of dysphagia during the 4 months. He underwent cervical spine surgery three years ago. The CT and MRI findings mimicked typical posterior pharyngeal wall cancer with cervical metastasis. Furthermore, the SUV in 18 F-FDG PET/CT was 10.3. But he was finally diagnosed as a granuloma resulting from the metallic cervical im-plants. The clinical correlation and medical history should be taken into account to avoid false-positive findings in PET/CT and to avoid many erroneous diagnostic pathways.
Key Words: Granuloma, False-positive, 18 F-FDG PET/CT, Metallic plates
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