Epiglottic Polymorphous Adenocarcinoma With Multiple Bone Metastases Detected by 68 Ga-FAPI PET/CT

Polymorphous adenocarcinoma (PAC) is generally an indolent tumor that mostly commonly affects the minor salivary gland. Polymorphous adenocarcinoma with distant metastases is extremely rare. In this case, we reported 18 F-FDG and 68 Ga-FAPI PET/CT imaging findings in a rare case of epiglottic PAC with multiple bone metastases. 68 Ga-FAPI PET/CT showed superiority over 18 F-FDG PET/CT for detecting the primary and metastatic PAC. This case highlighted that 68 Ga-FAPI may be a promising radiopharmaceutical in the diagnosis of PAC, especially for detecting the PACs arising in uncommon sites.