This is an alert 86-years old man who has been treated successfully earlier for carcinoma colon and prostate. He had weight loss and a repeat PET shows liver lesions and a lesion in the left iliac bone. The question was which tumor spread did these lesions represent, colon (most likely) or prostate (less likely) or both.
A CT guided biopsy of the left iliac lesion was done, which to everyone’s surprise showed that this was a metastatic lesion from a liver primary, essentially a hepatocellular carcinoma.
Trust fate to deal a triple blow like this. #cancer #ctbiopsy #petct