More Prominent 18 F-FDG Uptake Than 68 Ga-FAPI-04 in Nongestational Choriocarcinoma.
Ya Liu, Ke Xiang, Miao Liu et al.
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Case in brief
A 56-year-old man was found to have nongestational choriocarcinoma of unknown primary with multiple metastases. On PET/CT, the lesions showed intense 18F-FDG uptake but limited accumulation of 68Ga-FAPI-04. The report describes this discordant tracer pattern in a rare male presentation of primary choriocarcinoma.
What made this case unusual
The metastatic lesions were markedly more conspicuous on 18F-FDG PET/CT than on 68Ga-FAPI-04 PET/CT, an unexpected imaging contrast in this case.
Diagnostic / clinical pearl
In this reported case, limited 68Ga-FAPI-04 accumulation did not correspond to low 18F-FDG uptake; the two tracers showed substantially different lesion uptake.