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CC BY-NC-ND 4.0 · World J Nucl Med 2020; 19(03): 324-326
DOI: 10.4103/wjnm.WJNM_53_19
Interesting Image

Inferior vena cava syndrome on skeletal scintigraphy secondary to metastatic prostate cancer

Lovemore Makusha
Department of Radiology and Imaging, Yale University School of Medicine, New Haven, CT, USA
,
Michal Kulon
Department of Radiology and Imaging, Yale University School of Medicine, New Haven, CT, USA
,
Darko Pucar
Department of Radiology and Imaging, Yale University School of Medicine, New Haven, CT, USA
,
Colin Young
Department of Radiology and Imaging, Yale University School of Medicine, New Haven, CT, USA
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Abstract

This interesting image illustrates an unusual case of inferior vena cava (IVC) syndrome from prostate cancer retroperitoneal adenopathy initially identified with skeletal scintigraphy. IVC syndrome is an infrequent occurrence resulting from extrinsic compression or intraluminal occlusion of the vessel. Whole-body planar skeletal scintigraphy showed a stable left sacroiliac metastasis and increased soft tissue uptake throughout the lower hemibody up to the lower chest level. Computed tomography (CT) demonstrated extrinsic compression of the IVC from metastatic retroperitoneal adenopathy. This represents a rare presentation of IVC syndrome in prostate cancer with characteristic appearance on skeletal scintigraphy of Fisherman's Wader's sign, that should prompt confirmatory anatomic imaging.

Keywords

Fisherman's Waders - prostate adenocarcinoma - IVC syndrome - soft tissue uptake on bone scintigraphy - osseous metastatic disease

Financial support and sponsorship

Nil.




Publication History

Received: 14 July 2019

Accepted: 06 October 2019

Article published online:
19 April 2022

© 2020. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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