case_images: PMC3603648_01
case_images: PET in a breast cancer patient shows abnormal FDG uptake.
case_images: CRIM.MEDICINE2013-459753.001.jpg
case_images: PMC3603648_01_CRIM.MEDICINE2013-459753.001.jpg
case_images: fig1
case_images: TruePoint 2008A. CT data was acquired without contrast enhancement and using the following parameters: 130 kV; 60 mAs; pitch 1.5; and slice thickness, 5 mm. The PET CT scan revealed a left breast mass with a size of 27 x 17 mm with a maximum standard uptake value (SUV) of 10,13 and six left axillary lymph nodes measuring up to 17 x 12 mm in size showed intense FDG avidity with SUV value of 8,10 (Figure 1).
case_images: CT (right), PET (middle left), and PET CT (left) transaxial images show intense FDG uptake of mediastinal and axillary lymph nodes and left breast mass.
case_images: CRIM.MEDICINE2013-459753.002.jpg
case_images: PMC3603648_01_CRIM.MEDICINE2013-459753.002.jpg
case_images: fig2
case_images: In addition, right paratracheal, prevascular, aorticopulmonary, precarinal, subcarinal, hilar, and subhilar multiple conglomerated mediastinal lymph nodes with SUV value of 8,16 were revealed (Figure 2).
case_images: Noncaseating granulomas in lymphoid tissue (H-E, 10x).
case_images: CRIM.MEDICINE2013-459753.003.jpg
case_images: PMC3603648_01_CRIM.MEDICINE2013-459753.003.jpg
case_images: fig3
case_images: Pathology was reported as granulomatous lymphadenitis, auramine-rhodamine (A-R) and Ehrlich-Ziehl-Neelsen (EZN) stainings were negative, no Schaumann or asteroid bodies were observed, and examination of histological sections revealed epithelioid histiocytes, lymphocytes, and a few Langhans-type giant cells with noncaseating granulomas (Figures 3 and 4).
case_images: Granulomas showing epithelioid hystiocytes and lymphocytes (H-E, 40x).
case_images: CRIM.MEDICINE2013-459753.004.jpg
case_images: PMC3603648_01_CRIM.MEDICINE2013-459753.004.jpg
case_images: fig4
case_images: Pathology was reported as granulomatous lymphadenitis, auramine-rhodamine (A-R) and Ehrlich-Ziehl-Neelsen (EZN) stainings were negative, no Schaumann or asteroid bodies were observed, and examination of histological sections revealed epithelioid histiocytes, lymphocytes, and a few Langhans-type giant cells with noncaseating granulomas (Figures 3 and 4).