The scar sign: a useful finding on FDG PET/CT to distinguish sarcoidosis from other causes of lymphadenopathy.

Abstract:

:Scar involvement is a rare but characteristic cutaneous manifestation of sarcoidosis. The concurrent presence of FDG-avid lymphadenopathy and scar involvement (the "scar sign") is a useful finding on FDG PET/CT to suggest sarcoidosis, especially when biopsy specimens are difficult to obtain. A 46-year-old woman who presented with fever, cough, and weight loss was found to have mediastinal and hilar lymphadenopathy on chest radiography and CT scan. FDG PET/CT scan showed FDG-avid lower cervical, mediastinal, hilar, and inguinal lymphadenopathy. There was also increased FDG uptake along an old hysterectomy scar. Mediastinoscopy and nodal biopsy revealed noncaseating granulomas compatible with sarcoidosis.

journal_name

Clin Nucl Med

authors

Lu SJ,Lee VK,Loo SW

doi

10.1097/RLU.0b013e31827a22e0

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

205-8

issue

3

eissn

0363-9762

issn

1536-0229

journal_volume

38

pub_type

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