Skip to main content
Top
Published in: Molecular Imaging and Biology 4/2006

01-07-2006 | Brief Article

Renal Oncocytoma on 1-11C acetate Positron Emission Tomography: Case Report and Literature Review

Authors: Jabi Shriki, MD, Venkatesh Murthy, MD, PhD, Jeffrey Brown, MD

Published in: Molecular Imaging and Biology | Issue 4/2006

Login to get access

Abstract

Renal oncocytomas are uncommon tumors of the renal collecting duct. Although generally benign, these tumors pose a diagnostic and therapeutic dilemma in that they can not be differentiated noninvasively from renal cell carcinomas. We report a 67-year-old man who underwent a clinical 1-11C acetate positron emission tomography (PET) scan for evaluation of possible metastatic prostate carcinoma. The study demonstrated a nodule at the inferior pole of the right kidney with more uptake than the remainder of the kidney. Correlation was made with MRI, which demonstrated that the nodule was solid, and enhanced after contrast agent administration. Upon resection, this nodule was determined to be an oncocytoma. To our knowledge, this marks the first report of the 1-11C acetate PET scan appearance of a renal oncocytoma Possible mechanisms for increased uptake include dysfunctional, but up-regulated oxidative phosphorylation or uptake through lipid biosynthesis pathways.
Literature
1.
go back to reference Oyama N, Miller TR, Dehdashti F, et al. (2003) 11C-acetate PET imaging of prostate cancer: detection of recurrent disease at PSA relapse. J Nucl Med 44:549–555PubMed Oyama N, Miller TR, Dehdashti F, et al. (2003) 11C-acetate PET imaging of prostate cancer: detection of recurrent disease at PSA relapse. J Nucl Med 44:549–555PubMed
2.
go back to reference Oyama N, Akino H, Kanamaru H, et al. (2002) 11C-acetate PET imaging of prostate cancer. J Nucl Med 43:181–186PubMed Oyama N, Akino H, Kanamaru H, et al. (2002) 11C-acetate PET imaging of prostate cancer. J Nucl Med 43:181–186PubMed
3.
go back to reference Gharib AM, Thomasson D, Li KC (2004) Molecular imaging of hepatocellular carcinoma. Gastroenterology 127(5 Suppl 1):S153–S158PubMedCrossRef Gharib AM, Thomasson D, Li KC (2004) Molecular imaging of hepatocellular carcinoma. Gastroenterology 127(5 Suppl 1):S153–S158PubMedCrossRef
4.
go back to reference Higashi K, Ueda Y, Matsunari I, et al. (2004) 11C-acetate PET imaging of lung cancer: comparison with 18F-FDG PET and 99mTc-MIBI SPET. Eur J Nucl Med Mol Imaging 31:13–21PubMedCrossRef Higashi K, Ueda Y, Matsunari I, et al. (2004) 11C-acetate PET imaging of lung cancer: comparison with 18F-FDG PET and 99mTc-MIBI SPET. Eur J Nucl Med Mol Imaging 31:13–21PubMedCrossRef
5.
go back to reference Zippel L (1942) Zur kenntnis der onkocytonen. Virchows Arch 308:360–382 Zippel L (1942) Zur kenntnis der onkocytonen. Virchows Arch 308:360–382
6.
go back to reference Klein MJ, Valensi QJ (1978) Proximal tubular adenomas of the kidney with so-called oncocytic features: a clinicopathologic study of 13 cases of a rarely reported neoplasm. Cancer 38:906–914CrossRef Klein MJ, Valensi QJ (1978) Proximal tubular adenomas of the kidney with so-called oncocytic features: a clinicopathologic study of 13 cases of a rarely reported neoplasm. Cancer 38:906–914CrossRef
7.
go back to reference Bonavita JA, Pollack HM, Banner MP (1982) Renal oncocytoma: further observations and literature review. Urol Radiol 2:229–234CrossRef Bonavita JA, Pollack HM, Banner MP (1982) Renal oncocytoma: further observations and literature review. Urol Radiol 2:229–234CrossRef
9.
go back to reference Lindgren V, Panner GP, Omeroglu A, et al. (2004) Cytogenetic analysis of a series of 13 renal oncocytomas. J Urol 171:602–604PubMedCrossRef Lindgren V, Panner GP, Omeroglu A, et al. (2004) Cytogenetic analysis of a series of 13 renal oncocytomas. J Urol 171:602–604PubMedCrossRef
10.
go back to reference Ambos MA, Bosniak MA, Valensi QJ, et al. (1978) Angiographic patterns of renal oncocytomas. Radiology 129:615–622PubMed Ambos MA, Bosniak MA, Valensi QJ, et al. (1978) Angiographic patterns of renal oncocytomas. Radiology 129:615–622PubMed
11.
go back to reference Goiney RC, Goldenberg L, Cooperberg PL, et al. (1984) Renal oncocytoma: sonographic analysis of 14 cases. Am J Roentgenol 143:100–104 Goiney RC, Goldenberg L, Cooperberg PL, et al. (1984) Renal oncocytoma: sonographic analysis of 14 cases. Am J Roentgenol 143:100–104
12.
go back to reference Garant M, Bonaldi VM, Taourel P, et al. (1998) Enhancement patterns of renal masses during multiphase helical CT acquisitions. Abdom Imaging 23:431–436PubMedCrossRef Garant M, Bonaldi VM, Taourel P, et al. (1998) Enhancement patterns of renal masses during multiphase helical CT acquisitions. Abdom Imaging 23:431–436PubMedCrossRef
13.
go back to reference Zeman RK, Zeiberg H, Hayes WS, et al. (1996) Helical CT of renal mass. Value of delayed scan. Am J Roentgenol 167:771–776 Zeman RK, Zeiberg H, Hayes WS, et al. (1996) Helical CT of renal mass. Value of delayed scan. Am J Roentgenol 167:771–776
14.
go back to reference Defossez SM, Yoder IC, Papanicolau N, et al. (1991) Nonspecific magnetic resonance appearance of renal oncocytomas: report of 3 cases and review of the literature. J Urol 145:552–554PubMed Defossez SM, Yoder IC, Papanicolau N, et al. (1991) Nonspecific magnetic resonance appearance of renal oncocytomas: report of 3 cases and review of the literature. J Urol 145:552–554PubMed
15.
go back to reference Davidson AJ, Hayes WS, Hartman DS, et al. (1993) Renal oncocytoma and carcinoma: failure of differentiation with CT. Radiology 186:693–696PubMed Davidson AJ, Hayes WS, Hartman DS, et al. (1993) Renal oncocytoma and carcinoma: failure of differentiation with CT. Radiology 186:693–696PubMed
16.
go back to reference Hamilton WJ, King BF, Lieber MM. (1996) Renal oncocytoma: magnetic resonance imaging characteristics. Clin Urol 155:863–867 Hamilton WJ, King BF, Lieber MM. (1996) Renal oncocytoma: magnetic resonance imaging characteristics. Clin Urol 155:863–867
17.
go back to reference Perez-Ordonez B, Hamed G, Campbell S, et al. (1997) Renal oncocytomas: a clinicopathologic study of 70 cases. Am J Surg Pathol 21:871–873PubMedCrossRef Perez-Ordonez B, Hamed G, Campbell S, et al. (1997) Renal oncocytomas: a clinicopathologic study of 70 cases. Am J Surg Pathol 21:871–873PubMedCrossRef
18.
go back to reference van den Hoff J, Burchert W, Borner AR, et al. (2001) 11Carbon acetate as a quantitative perfusion tracer in myocardial PET. J Nucl Med 42:1174–1182PubMed van den Hoff J, Burchert W, Borner AR, et al. (2001) 11Carbon acetate as a quantitative perfusion tracer in myocardial PET. J Nucl Med 42:1174–1182PubMed
19.
go back to reference Shreve P, Chiao PC, Humes HD, et al. (1995) Carbon-11-acetate PET imaging in renal disease. J Nucl Med 36:1595–1601PubMed Shreve P, Chiao PC, Humes HD, et al. (1995) Carbon-11-acetate PET imaging in renal disease. J Nucl Med 36:1595–1601PubMed
20.
go back to reference Amin MB, Crotty TB, Tickoo SK, Farrow GM (1997) Renal oncocytomas: A reappraisal with morphologic features with clinicopathologic findings in 80 cases. Am J Surg Pathol 21:1–12PubMedCrossRef Amin MB, Crotty TB, Tickoo SK, Farrow GM (1997) Renal oncocytomas: A reappraisal with morphologic features with clinicopathologic findings in 80 cases. Am J Surg Pathol 21:1–12PubMedCrossRef
21.
go back to reference Zambrano NR, Lubinsky LA, Merino MJ, et al. (1999) Histopathology and molecular genetics of renal tumors toward unification of a classification system. J Urol 162:1246–1258PubMedCrossRef Zambrano NR, Lubinsky LA, Merino MJ, et al. (1999) Histopathology and molecular genetics of renal tumors toward unification of a classification system. J Urol 162:1246–1258PubMedCrossRef
22.
go back to reference Tallini G, Ladanyi M, Rosai J, et al. (1994) Analysis of nuclear and mitochondrial DNA alterations in thyroid and renal oncocytic tumors. Cytogenet Cell Genet 66:253–259PubMedCrossRef Tallini G, Ladanyi M, Rosai J, et al. (1994) Analysis of nuclear and mitochondrial DNA alterations in thyroid and renal oncocytic tumors. Cytogenet Cell Genet 66:253–259PubMedCrossRef
23.
go back to reference Simmonet H, Alazard N, Pfeifer K, et al. (2002) Low mitochondrial respiratory chain content correlates with tumor aggressiveness in renal cell carcinoma. Carcinogenesis 23:759–768CrossRef Simmonet H, Alazard N, Pfeifer K, et al. (2002) Low mitochondrial respiratory chain content correlates with tumor aggressiveness in renal cell carcinoma. Carcinogenesis 23:759–768CrossRef
24.
go back to reference Simmonet H, Demont J, Pfeiffer K, et al. (2003) Mitochondrial complex I is deficient in renal oncocytomas. Carcinogenesis 24:1461–1466CrossRef Simmonet H, Demont J, Pfeiffer K, et al. (2003) Mitochondrial complex I is deficient in renal oncocytomas. Carcinogenesis 24:1461–1466CrossRef
25.
go back to reference Klein LJ, Visser FC, Knappen P, et al. (2001) Carbon-11-acetate as a tracer of myocardial oxygen consumption. Eur J Nucl Med 28:651–668PubMedCrossRef Klein LJ, Visser FC, Knappen P, et al. (2001) Carbon-11-acetate as a tracer of myocardial oxygen consumption. Eur J Nucl Med 28:651–668PubMedCrossRef
26.
go back to reference Swinnen JV, Van Veldhoven PP, Timmermans L, et al. (2003) Fatty acid synthase drives the synthesis of phospholipids partitioning into detergent-resistant membrane microdomains. Biochem Biophys Res Commun 302:898–903PubMedCrossRef Swinnen JV, Van Veldhoven PP, Timmermans L, et al. (2003) Fatty acid synthase drives the synthesis of phospholipids partitioning into detergent-resistant membrane microdomains. Biochem Biophys Res Commun 302:898–903PubMedCrossRef
27.
go back to reference Toprak U, Erdogan A, Gulbay M, et al. (2005) Preoperative evaluation of renal anatomy and renal masses with helical CT, 3-D CT and 3D CT angiography. Diagn Interv Radiol 11:35–40PubMed Toprak U, Erdogan A, Gulbay M, et al. (2005) Preoperative evaluation of renal anatomy and renal masses with helical CT, 3-D CT and 3D CT angiography. Diagn Interv Radiol 11:35–40PubMed
28.
go back to reference Yashimoto M, Waki A, Yonekura Y, et al. (2001) Characterization of acetate metabolism in tumor cells in relation to cell proliferation: acetate metabolism in tumor cells. Nucl Med Biol 28:117–122CrossRef Yashimoto M, Waki A, Yonekura Y, et al. (2001) Characterization of acetate metabolism in tumor cells in relation to cell proliferation: acetate metabolism in tumor cells. Nucl Med Biol 28:117–122CrossRef
29.
go back to reference Moerlein SM, Gaehle GG, Welch MJ. (2002) Robotic preparation of sodium acetate C 11 injection for use in clinical PET. Nucl Med Biol 29:613–621PubMedCrossRef Moerlein SM, Gaehle GG, Welch MJ. (2002) Robotic preparation of sodium acetate C 11 injection for use in clinical PET. Nucl Med Biol 29:613–621PubMedCrossRef
30.
go back to reference Aide N, Cappele O, Bottet P, et al. (2003) Efficiency of [(18)F]FDG PET in characterising renal cancer and detecting distant metastases: a comparison with CT. Eur J Nucl Med Mol Imaging 30:1236–1245PubMedCrossRef Aide N, Cappele O, Bottet P, et al. (2003) Efficiency of [(18)F]FDG PET in characterising renal cancer and detecting distant metastases: a comparison with CT. Eur J Nucl Med Mol Imaging 30:1236–1245PubMedCrossRef
31.
go back to reference Blake MA, McKernan M, Setty B, et al. (2006) Renal oncocytoma displaying intense activity on 18F-FDG PET. Am J Roentgenol 186:269–270CrossRef Blake MA, McKernan M, Setty B, et al. (2006) Renal oncocytoma displaying intense activity on 18F-FDG PET. Am J Roentgenol 186:269–270CrossRef
32.
go back to reference Brown M, Marshall DR, Sobel BE, et al. (1987) Delineation of myocardial oxygen utilization with carbon-11-labeled acetate. Circulation 76:687–696PubMed Brown M, Marshall DR, Sobel BE, et al. (1987) Delineation of myocardial oxygen utilization with carbon-11-labeled acetate. Circulation 76:687–696PubMed
Metadata
Title
Renal Oncocytoma on 1-11C acetate Positron Emission Tomography: Case Report and Literature Review
Authors
Jabi Shriki, MD
Venkatesh Murthy, MD, PhD
Jeffrey Brown, MD
Publication date
01-07-2006
Publisher
Springer-Verlag
Published in
Molecular Imaging and Biology / Issue 4/2006
Print ISSN: 1536-1632
Electronic ISSN: 1860-2002
DOI
https://doi.org/10.1007/s11307-006-0040-9

Other articles of this Issue 4/2006

Molecular Imaging and Biology 4/2006 Go to the issue