Differential diagnosis of Warthin’s tumor complicated with lung adenocarcinoma by 18F- FDG PET/CT imaging and radioisotope scanning with Tc-99m pertechnetate: A case report and literature review

Abstract

A seventy eight years old male patient underwent a whole body 18F-FDG PET/CT imaging to diagnose the lesion which was showed in the right lung by a chest X ray test and CT scan before. Besides the intense 18F-FDG uptake of the lesion in the right lung, a lesion in the left parotid gland also showed intense 18F-FDG uptake. To evaluate the pathology of the lesion in the left parotid gland, a parotid gland scintigraphy imaging with Tc-99m pertechnetate was done and revealed a Warthin's tumor. Later a fine needle aspiration(FNA) confirmed that it was a Warthin's tumor.