@article { author = {Al-Rashdan, Rakan and Aljaberi, Mohammed and Mohamedkhair, Ali and Al-Ibraheem, Akram}, title = {Prominent 18F-FDG Uptake in the Adrenal Gland after Contralateral Adrenalectomy in a Known Case of Adrenocortical Oncocytic Carcinoma}, journal = {Asia Oceania Journal of Nuclear Medicine and Biology}, volume = {11}, number = {2}, pages = {181-184}, year = {2023}, publisher = {Mashhad University of Medical Sciences in collaboration with AOFNMB}, issn = {2322-5718}, eissn = {2322-5726}, doi = {10.22038/aojnmb.2022.67950.1472}, abstract = {Adrenocortical carcinoma (ACC) is a rare type of cancer that is associated with a high rate of recurrence and poor prognosis. The main diagnostic approaches to adrenocortical cancer include CT scan, MRI and the promising role of 18F-FDG PET/CT. The main therapeutic approaches include radical surgery of local disease and recurrences, as well as adjuvant mitotane therapy.The evaluation of adrenocortical carcinoma (ACC) could be difficult by using 18F-FDG PET/CT in view of the significant association between the 18F-FDG uptake and ACC. At the same time, not all adrenal glands with 18F-FDG uptake are considered to be malignant, so awareness of these various findings is substantial for ACC management, especially with limited data regarding the role of 18F-FDG PET/CT in ACC post-operative settings.This report discusses the case of a 47-year-old man with a history of left adrenocortical carcinoma who underwent adrenalectomy and received adjuvant mitotane therapy. 9 months after the surgery, a follow-up 18F-FDG PET/CT scan showed that the 18F-FDG uptake was prominent in the right adrenal gland without corresponding abnormal CT scan findings.}, keywords = {adrenocortical carcinoma,18F-FDG PET/CT,mitotane,adrenalectomy}, url = {https://aojnmb.mums.ac.ir/article_21371.html}, eprint = {https://aojnmb.mums.ac.ir/article_21371_67140bb49868c787b5b874809eb88797.pdf} }