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Fine needle aspiration diagnosis of benign oncocytic lesions of the head and neck associated with false positive 18F‐fluorodeoxyglucose uptake on positron emission tomography scan

18F‐fluorodeoxyglucose (FDG) uptake on positron emission tomography/computed tomography (PET/CT) has become the mainstay for staging and post‐therapy surveillance of cancer as malignant neoplasms generally demonstrate higher FDG uptake that benign… Click to show full abstract

18F‐fluorodeoxyglucose (FDG) uptake on positron emission tomography/computed tomography (PET/CT) has become the mainstay for staging and post‐therapy surveillance of cancer as malignant neoplasms generally demonstrate higher FDG uptake that benign entities. However, there are certain benign lesions, most notably oncocytic tumors, that can display very high uptake and fine needle aspiration (FNA) is usually done to confirm malignancy. Therefore, it is important to recognize that benign oncocytic lesions of the head and neck may also present as FDG‐avid lesions to avoid a diagnostic pitfall.

Keywords: fine needle; uptake positron; emission tomography; 18f fluorodeoxyglucose; tomography; positron emission

Journal Title: Diagnostic Cytopathology
Year Published: 2024

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