Increased 18 F-FDG Avidity on PET/CT During Treatment for Rhabdomyosarcoma Confirmed to Be Mature Rhabdomyoblasts.
Nicole Baca, Fataneh Majlessipour, Christopher T Watterson et al.
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Case in brief
An adolescent with metastatic fusion-positive rhabdomyosarcoma exhibited a new 18 F-FDG-PET avid focus in the radiation field during systemic chemotherapy, raising concerns for disease progression. Subsequent resection of the lesion revealed it to be mature rhabdomyoblasts. The patient has remained in remission for 26 months post-resection and 20 months after completing treatment.
Diagnostic / clinical pearl
Increased 18 F-FDG avidity during treatment may not always indicate disease progression, as it can represent mature rhabdomyoblasts in rhabdomyosarcoma.