PMID- 21725939 OWN - NLM STAT- MEDLINE DCOM- 20120829 LR - 20171206 IS - 1724-6016 (Electronic) IS - 1120-6721 (Linking) VI - 22 IP - 2 DP - 2012 Mar-Apr TI - 18FDG-PET/CT assessing the absence of cell viability and excluding metastatic disease in a case of necrotic choroidal melanoma. PG - 288-92 LID - 10.5301/ejo.5000016 [doi] AB - PURPOSE: To report a case of choroidal melanoma in which the absence of 18FDG-positron emission tomography (PET)/computed tomography (CT) uptake in the whole body scan excluded the presence of any foci of metastases. Additionally, the PET/CT study correctly diagnosed the necrotic character of the lesion. METHODS: A 76-year-old woman with neovascular glaucoma, and without vitreous or retina visualization, was studied by our ophthalmology service. RESULTS: Ocular ultrasound showed an 18 x 16 mm vitreous exophytic image compatible with choroidal melanoma; magnetic resonance gave a 17 x 15 mm exophytic image, highly intense at T1 and hypointense at T2, with cystic and necrotic images after a contrast injection. An 18FDG-PET/CT study revealed a clearly hypometabolic lesion, representing absence of cell viability and excluding active melanoma cells. No other uptake lesions were detected at the whole-body PET/CT scan, assuming the absence of extraocular metastases. The eye was enucleated, and the pathology study showed a 16 x 15 mm necrotic choroidal melanoma. CONCLUSIONS: The 18FDG-PET/CT study correctly depicted the necrotic character of the choroidal melanoma and was able to exclude other foci of metastases. FAU - Romero-Aroca, Pedro AU - Romero-Aroca P AD - Ophthalmic Service, Institut de Investigacio Sanitaria Pere Virgili (IISPV), Hospital Universitario Sant Joan, Universidad Rovira i Virgili, Reus, Spain. promero@grupsagessa.com FAU - Montero-Jaime, Manuel AU - Montero-Jaime M FAU - Intriago, Belen AU - Intriago B FAU - Riu, Frances AU - Riu F FAU - Pena-Gonzalez, Karla B AU - Pena-Gonzalez KB FAU - Almena-Garcia, Matias AU - Almena-Garcia M LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Eur J Ophthalmol JT - European journal of ophthalmology JID - 9110772 RN - 0 (Radiopharmaceuticals) RN - 0Z5B2CJX4D (Fluorodeoxyglucose F18) SB - IM MH - Aged MH - Cell Survival MH - Choroid Neoplasms/*diagnostic imaging/pathology/surgery MH - Eye Enucleation MH - Female MH - *Fluorodeoxyglucose F18 MH - Humans MH - Magnetic Resonance Imaging MH - Melanoma/*diagnostic imaging/pathology/surgery MH - *Multimodal Imaging MH - Necrosis MH - Orbit/diagnostic imaging MH - *Positron-Emission Tomography MH - *Radiopharmaceuticals MH - *Tomography, X-Ray Computed MH - Ultrasonography EDAT- 2011/07/05 06:00 MHDA- 2012/08/30 06:00 CRDT- 2011/07/05 06:00 PHST- 2011/05/21 00:00 [accepted] PHST- 2011/07/05 06:00 [entrez] PHST- 2011/07/05 06:00 [pubmed] PHST- 2012/08/30 06:00 [medline] AID - 04DAF589-1EC8-4902-A0C7-9BEF52831552 [pii] AID - 10.5301/ejo.5000016 [doi] PST - ppublish SO - Eur J Ophthalmol. 2012 Mar-Apr;22(2):288-92. doi: 10.5301/ejo.5000016.