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. 2013 Jun;47(2):134-7.
doi: 10.1007/s13139-013-0191-y. Epub 2013 Jan 24.

Uterine Epithelioid Angiosarcoma on F-18 FDG PET/CT

Jae Pil Hwang  1 , Sang Moo Lim  2
Affiliations

Uterine Epithelioid Angiosarcoma on F-18 FDG PET/CT

Jae Pil Hwang et al. Nucl Med Mol Imaging. 2013 Jun.

Abstract

Uterine epithelioid angiosarcoma can have conventional imaging characteristics similar to those of other uterine tumors, such as leiomyoma, leiomyosarcomas or hemangioendothelioma. Uterine epithelioid angiosarcoma exhibiting increased fluorine-18 fluorodeoxyglucose (F-18 FDG) activity can be misdiagnosed. A 61-year-old woman who was diagnosed with uterine epithelioid angiosarcoma underwent F-18 FDG positron emission tomography/computed tomography (PET/CT) as a part of the pretreatment work up for surgery. F-18 FDG PET/CT showed an intense F-18 FDG uptake in the uterus in addition to increased F-18 FDG uptake at the paraaortic and aortocaval lymph nodes. To our knowledge, this is the first case report of intense F-18 FDG uptake in uterine epithelioid angiosarcoma in Korea.

Keywords: F-18 FDG; PET/CT; Uterine epithelioid angiosarcoma.

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Figures

Fig. 1
Fig. 1
Transaxial (a, b) and coronal (c, d) F-18 FDG PET/CT images show a 12 × 10 × 9-cm sized heterogeneously hypermetabolic lesion in the fundus and posterolateral region of uterus with SUVmax of 6.5 in 1 hour
Fig. 2
Fig. 2
Coronal (a) and tranaxial (c) contrast-enhanced CT images show a enhanced mass in the fundus and posterolateral region of uterus. Coronal contrast-enhanced MRI (b) images show a high signal intensity on T2-weighted MRI in the utreus. Transaxial contrast-enhanced MRI (d) images show a high signal intensity, known as the “cauliflower-like appearance”on T2-weighted MRI in the utreus
See this image and copyright information in PMC

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