The Values and Limitations of FDG-PET/CT for Diagnosis of Hibernoma

Hibernoma is a rare benign lipogenic tumor of brown fat that develops in a wide variety of locations. Although the features of hibernoma demonstrated by MRI resemble those of liposarcoma, recent FDG-PET/CT studies have documented higher radiotracer uptake than liposarcoma, suggesting that FDG/PET/CT...

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Main Authors: Jong Hoon Park, Koichi Ogura, Tomohiro Fujiwara, Akihito Nagano, Kunihiko Numoto, Takashi Terauchi, Akihiko Yoshida, Akira Kawai
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2015/958690
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author Jong Hoon Park
Koichi Ogura
Tomohiro Fujiwara
Akihito Nagano
Kunihiko Numoto
Takashi Terauchi
Akihiko Yoshida
Akira Kawai
author_facet Jong Hoon Park
Koichi Ogura
Tomohiro Fujiwara
Akihito Nagano
Kunihiko Numoto
Takashi Terauchi
Akihiko Yoshida
Akira Kawai
author_sort Jong Hoon Park
collection DOAJ
description Hibernoma is a rare benign lipogenic tumor of brown fat that develops in a wide variety of locations. Although the features of hibernoma demonstrated by MRI resemble those of liposarcoma, recent FDG-PET/CT studies have documented higher radiotracer uptake than liposarcoma, suggesting that FDG/PET/CT is useful for differentiating hibernoma from liposarcoma. Here we report two cases of hibernoma that showed relatively lower SUVs than those reported previously, lying within the range for liposarcoma. Our findings emphasize that hibernoma needs to be included in the differential diagnosis of any fat-containing tumor showing intense accumulation by FDG-PET/CT. Although it is unlikely that such a rare condition could be reasonably diagnosed on the basis of MRI and FDG-PET/CT alone due to possible SUV overlap between hibernoma and liposarcoma, it is important to recognize this extremely rare lipogenic tumor for accurate diagnosis and appropriate management.
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institution Kabale University
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language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-0cfa8bce8ddf4fc7bddc030b6659efb82025-02-03T01:09:27ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/958690958690The Values and Limitations of FDG-PET/CT for Diagnosis of HibernomaJong Hoon Park0Koichi Ogura1Tomohiro Fujiwara2Akihito Nagano3Kunihiko Numoto4Takashi Terauchi5Akihiko Yoshida6Akira Kawai7Department of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo 104-0045, JapanDepartment of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo 104-0045, JapanDepartment of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo 104-0045, JapanDepartment of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo 104-0045, JapanDepartment of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo 104-0045, JapanDepartment of Nuclear Medicine, National Cancer Center Hospital, Tokyo 104-0045, JapanDepartment of Pathology, National Cancer Center Hospital, Tokyo 104-0045, JapanDepartment of Musculoskeletal Oncology, National Cancer Center Hospital, Tokyo 104-0045, JapanHibernoma is a rare benign lipogenic tumor of brown fat that develops in a wide variety of locations. Although the features of hibernoma demonstrated by MRI resemble those of liposarcoma, recent FDG-PET/CT studies have documented higher radiotracer uptake than liposarcoma, suggesting that FDG/PET/CT is useful for differentiating hibernoma from liposarcoma. Here we report two cases of hibernoma that showed relatively lower SUVs than those reported previously, lying within the range for liposarcoma. Our findings emphasize that hibernoma needs to be included in the differential diagnosis of any fat-containing tumor showing intense accumulation by FDG-PET/CT. Although it is unlikely that such a rare condition could be reasonably diagnosed on the basis of MRI and FDG-PET/CT alone due to possible SUV overlap between hibernoma and liposarcoma, it is important to recognize this extremely rare lipogenic tumor for accurate diagnosis and appropriate management.http://dx.doi.org/10.1155/2015/958690
spellingShingle Jong Hoon Park
Koichi Ogura
Tomohiro Fujiwara
Akihito Nagano
Kunihiko Numoto
Takashi Terauchi
Akihiko Yoshida
Akira Kawai
The Values and Limitations of FDG-PET/CT for Diagnosis of Hibernoma
Case Reports in Orthopedics
title The Values and Limitations of FDG-PET/CT for Diagnosis of Hibernoma
title_full The Values and Limitations of FDG-PET/CT for Diagnosis of Hibernoma
title_fullStr The Values and Limitations of FDG-PET/CT for Diagnosis of Hibernoma
title_full_unstemmed The Values and Limitations of FDG-PET/CT for Diagnosis of Hibernoma
title_short The Values and Limitations of FDG-PET/CT for Diagnosis of Hibernoma
title_sort values and limitations of fdg pet ct for diagnosis of hibernoma
url http://dx.doi.org/10.1155/2015/958690
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