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Ovarian Mass Mimicking Malignancy: A Case Report

Ovarian Mass Mimicking Malignancy: A Case Report A 32-year-old female who suffered from abdominal pain underwent 18F-fluorodexoyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for the diagnostic workup of pelvic mass lesions. Cystic mass lesions in the bilateral ovaries showed wall thickening and intense hypermetabolism along the rim. In addition, multifocal intense hypermetabolic lymphadenopathies were seen in the left paraaortic lymph node (LN), aortocaval LN, and both common iliac LNs. We interpreted these findings as bilateral ovarian cancer with retroperitoneal metastatic lymphadenopathies rather than endometriosis with reactive lymphadenopathies. However, histopathological examination confirmed the ovarian mass lesions as tubo-ovarian abscesses. We report a case that even if simultaneous hypermetabolic retroperitoneal LNs are seen, intense hypermetabolic lesions in both ovaries can be in consequence of inflammatory change. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Nuclear Medicine and Molecular Imaging Springer Journals

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References (16)

Publisher
Springer Journals
Copyright
Copyright © 2010 by Korean Society of Nuclear Medicine
Subject
Medicine & Public Health; Oncology; Cardiology; Orthopedics; Imaging / Radiology; Nuclear Medicine
ISSN
1869-3474
eISSN
1869-3482
DOI
10.1007/s13139-010-0045-9
pmid
24899966
Publisher site
See Article on Publisher Site

Abstract

A 32-year-old female who suffered from abdominal pain underwent 18F-fluorodexoyglucose (FDG) positron emission tomography/computed tomography (PET/CT) for the diagnostic workup of pelvic mass lesions. Cystic mass lesions in the bilateral ovaries showed wall thickening and intense hypermetabolism along the rim. In addition, multifocal intense hypermetabolic lymphadenopathies were seen in the left paraaortic lymph node (LN), aortocaval LN, and both common iliac LNs. We interpreted these findings as bilateral ovarian cancer with retroperitoneal metastatic lymphadenopathies rather than endometriosis with reactive lymphadenopathies. However, histopathological examination confirmed the ovarian mass lesions as tubo-ovarian abscesses. We report a case that even if simultaneous hypermetabolic retroperitoneal LNs are seen, intense hypermetabolic lesions in both ovaries can be in consequence of inflammatory change.

Journal

Nuclear Medicine and Molecular ImagingSpringer Journals

Published: Aug 27, 2010

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