Intradiverticular Bladder Cancer Mimicking a Normal Urinary Bladder Diverticulum on FDG PET/CT.
Xiaojun Man, Changming Dong, Aisheng Dong et al.
✦ AI-curated · Sources linked
Case in brief
A patient with a bladder diverticulum underwent FDG PET/CT for evaluation of intradiverticular bladder cancer. On imaging at 62 minutes, the exophytic lesion had a density similar to bladder urine and intense FDG activity, resembling a diverticulum. On delayed pelvic imaging at 275 minutes, it had greater density and activity than the urine, a pattern consistent with malignancy.
What made this case unusual
The tumor initially mimicked a normal bladder diverticulum on FDG PET/CT, with its malignant appearance becoming apparent on delayed imaging.
Diagnostic / clinical pearl
In a patient with a bladder diverticulum, delayed pelvic FDG PET/CT may help identify an intradiverticular tumor that is inconspicuous or misleading on earlier images.