Incidental finding of malignancy in patients preoperatively evaluated for aneurysm wall pathology using PET/CT

M. Truijers, J. Pol, H. Kurvers, S. Bredie, W. Oyen and J. Blankensteijn

Department of Surgery and Vascular Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
May, 2009



Preoperative positron emission tomography/computed tomography (PET/CT) was performed in 26 consecutive patients considered fit for aneurysm repair. Besides information on aneurysm wall pathology, PET/CT identified 6 patients with concomitant malignancy. As a result of this coincidental finding, the operation was postponed in 2 patients and cancelled in 1. Although previous studies have shown that PET/CT might affect patient selection based on aneurysm wall inflammation, our preliminary results show a big impact on patient management as a result of the sensitivity of PET/CT for detecting malignancy. Future larger studies are warranted to investigate the effect and cost effectiveness of routine PET/CT in abdominal aortic aneurysm (AAA) patients.