Inferior vena cava syndrome on skeletal scintigraphy secondary to metastatic prostate cancer

Lovemore Makusha; Michal Kulon; Darko Pucar; Colin Young

doi:10.4103/wjnm.WJNM_53_19

World Journal of Nuclear Medicine, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · World J Nucl Med 2020; 19(03): 324-326
DOI: 10.4103/wjnm.WJNM_53_19

Interesting Image

Inferior vena cava syndrome on skeletal scintigraphy secondary to metastatic prostate cancer

Autoren

Lovemore Makusha

Department of Radiology and Imaging, Yale University School of Medicine, New Haven, CT, USA
Michal Kulon

Department of Radiology and Imaging, Yale University School of Medicine, New Haven, CT, USA
Darko Pucar

Department of Radiology and Imaging, Yale University School of Medicine, New Haven, CT, USA
Colin Young

Department of Radiology and Imaging, Yale University School of Medicine, New Haven, CT, USA

Abstract

This interesting image illustrates an unusual case of inferior vena cava (IVC) syndrome from prostate cancer retroperitoneal adenopathy initially identified with skeletal scintigraphy. IVC syndrome is an infrequent occurrence resulting from extrinsic compression or intraluminal occlusion of the vessel. Whole-body planar skeletal scintigraphy showed a stable left sacroiliac metastasis and increased soft tissue uptake throughout the lower hemibody up to the lower chest level. Computed tomography (CT) demonstrated extrinsic compression of the IVC from metastatic retroperitoneal adenopathy. This represents a rare presentation of IVC syndrome in prostate cancer with characteristic appearance on skeletal scintigraphy of Fisherman's Wader's sign, that should prompt confirmatory anatomic imaging.

Keywords

Fisherman's Waders - prostate adenocarcinoma - IVC syndrome - soft tissue uptake on bone scintigraphy - osseous metastatic disease

Volltext

Referenzen

References
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