Open Access Case Report

Early uptake and continuous accumulation of thallium-201 chloride in a benign mixed tumor of soft tissue: Case Report

Shigenori Nagata1, Yu-Fen Jin1, Katsuhiko Yoshizato1, Masanori Kitamura1, Norishige Iizuka1, Misa Song1, Miki Tomoeda1, Michiko Yuki1, Chiaki Kubo1, Hidenori Yoshizawa1, Hidetatsu Outani2, Kenichiro Hamada2, Nobuhito Araki2, Masahiro Funauchi3 and Yasuhiko Tomita1*

Author affiliations

1 Department of Pathology, Osaka Medical Center for Cancer and Cardiovascular Diseases, Higashinari, Osaka 537-8511, Japan

2 Department of Orthopedics and Osaka Medical Center for Cancer and Cardiovascular Diseases, Higashinari, Osaka 537-8511, Japan

3 Department of Nuclear Medicine, Osaka Medical Center for Cancer and Cardiovascular Diseases, Higashinari, Osaka 537-8511, Japan

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Citation and License

Diagnostic Pathology 2010, 5:34  doi:10.1186/1746-1596-5-34

Published: 30 May 2010

Abstract

A case of benign mixed tumor of the soft tissue in a 64-year-old Japanese male is presented. He noticed a painless, elastic hard mass sized 3 cm in the right knee, which gradually grew larger and harder in the last 5 years. Magnetic resonance imaging demonstrated a mass lesion embedded in the subcutaneous tissue with low and high signal intensity at T1- and T2-weighted images, respectively. Tl-201 scintigraphy showed an early uptake of Tl-201 within the lesion at 10 minutes after injection, which was slightly decreased but still continued at 2 hours later. The patient underwent a resection of tumor, and the pathological diagnosis was a benign mixed tumor of soft tissue without high vascularity, characterized by histological features similar to pleomorphic adenomas in the salivary glands. Immunohistochemical study proved expression of Na+/K+-ATPase of tumor cells. Overexpression of Na+/K+-ATPase of the tumor might be responsible for the early uptake of Tl-201, and poor vascular structure in this tumor might lead to continuous accumulation. The Tl-201 scintigraphic features of mixed tumor of soft tissue are assessed to resemble those of malignant soft tissue tumors.