Granulomatous Myositis Showing Fluctuating "Leopard-Man" Sign: A Case Report on FDG PET/CT Imaging

Clin Nucl Med. 2019 Dec;44(12):961-963. doi: 10.1097/RLU.0000000000002819.

Abstract

A 57-year-old woman with a history of uterine endometrial carcinoma underwent PET/CT examinations for initial staging and posttreatment survey. Multiple patchy accumulations were noted in the muscles, particularly in both thighs. These accumulations resolved spontaneously 6 months after the follow-up examination. However, 3.5 years after the surgery, the multiple patchy accumulations reappeared in the muscle of the upper and lower extremities showing an increase in signal intensity from previous examination. A biopsy of the right thigh revealed epithelioid cell granuloma without necrosis. We therefore consider that this case might be "idiopathic" granulomatous myositis.

Publication types

  • Case Reports

MeSH terms

  • Endometrial Neoplasms / complications
  • Endometrial Neoplasms / diagnostic imaging
  • Endometrial Neoplasms / pathology
  • Endometrial Neoplasms / therapy
  • Female
  • Fluorodeoxyglucose F18*
  • Granuloma / complications*
  • Humans
  • Middle Aged
  • Myositis / complications*
  • Myositis / diagnostic imaging*
  • Myositis / pathology
  • Neoplasm Staging
  • Positron Emission Tomography Computed Tomography*

Substances

  • Fluorodeoxyglucose F18