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Fig. 2 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 2

From: Delayed post-diuretic 18F-FDG PET/CT: can it help in determination of the best clinical decision for muscle invasive UB cancer patients?

Fig. 2

Seventy years old male patient, presented with pathologically proven undifferentiated metastatic bladder carcinoma. Initial pre-therapeutic delayed PET/CT study revealed (a) primary bladder intensely avid mass lesion, related to the posterosuperior aspect of the UB [SUV max 38.1] with LT external iliac two avid regional LNs (b), posterior triangle/supra clavicular LNs (c), and solitary small sub centimetric retrocaval LN (d). The patient received neoadjuvant chemotherapy and hormonal treatment then coming for follow-up. The post-therapeutic PET/CT revealed (e) partial metabolic response of the primary bladder lesion seen in the delayed post-diuretic PET/CT with metabolic regression from 38.1 to 31.3 SUVmax [with complete metabolic and morphologic resolution of the metastatic regional and distant lymphadenopathies (fh)

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