False positive 18F-FDG PET in an ischial chondroblastoma; an analysis of glucose transporter 1 and hexokinase II expression

Skeletal Radiol. 2006 May;35(5):306-10. doi: 10.1007/s00256-005-0032-x. Epub 2005 Dec 7.

Abstract

We report a rare case of chondroblastoma arising from the ischium which showed an increased (18)F-FDG uptake. Chondroblastoma is an uncommon lesion and usually involves the epiphysis of long bones. However, in this case, the tumor appeared as a well-defined osteolytic lesion in the ischium on radiographs. MR imaging demonstrated two components in the tumor: a solid one and a multilobular cystic component. (18)F-FDG PET imaging revealed an increased uptake in the ischium. The (18)F-FDG uptake resembled the results observed in malignant bone tumors. A histological diagnosis of chondroblastoma was obtained from tissue of an open biopsy. An immunohistochemical analysis demonstrated weak expression of both Glut-1 and HK-II. These findings suggest that Glut-1 and HK-II expression are not strongly related to FDG uptake in chondroblastoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biomarkers, Tumor / metabolism
  • Bone Neoplasms / diagnostic imaging*
  • Bone Neoplasms / metabolism*
  • False Positive Reactions
  • Fluorodeoxyglucose F18*
  • Glucose Transporter Type 1 / metabolism*
  • Hexokinase / metabolism*
  • Humans
  • Ischium / diagnostic imaging*
  • Ischium / metabolism*
  • Male
  • Positron-Emission Tomography / methods
  • Radiopharmaceuticals
  • Tissue Distribution

Substances

  • Biomarkers, Tumor
  • Glucose Transporter Type 1
  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18
  • Hexokinase