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Uterine Intravenous Leiomyomatosis with Intracardiac Extension and Pulmonary Benign Metastases on FDG PET/CT: A Case Report

A 48-year-old woman presented with a 50-day history of irregular vaginal bleeding and lower abdominal pain. Ultrasound indicated an extremely large occupying lesion in the pelvic cavity that was highly suggestive of malignancy. Fluorodeoxyglucose (FDG) positron emission tomography/computed tomograph...

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Autores principales: Wang, Hui-Chun, Wang, Yu-Bin, Chen, Xiao-Hong, Cui, Lan-Lan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Radiology 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4781770/
https://www.ncbi.nlm.nih.gov/pubmed/26957916
http://dx.doi.org/10.3348/kjr.2016.17.2.289
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author Wang, Hui-Chun
Wang, Yu-Bin
Chen, Xiao-Hong
Cui, Lan-Lan
author_facet Wang, Hui-Chun
Wang, Yu-Bin
Chen, Xiao-Hong
Cui, Lan-Lan
author_sort Wang, Hui-Chun
collection PubMed
description A 48-year-old woman presented with a 50-day history of irregular vaginal bleeding and lower abdominal pain. Ultrasound indicated an extremely large occupying lesion in the pelvic cavity that was highly suggestive of malignancy. Fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) was performed to further assess the nature of pelvic abnormality. PET/CT images demonstrated a diffusely lobulated mass ranging from cervix up to the inferior pole of kidneys with mild FDG uptake. Simultaneously, multiple nodules in bilateral lungs and a hypodense lesion in the right ventricle were shown without FDG-avidity. Based on the imaging results, the presumptive diagnosis was uterine intravenous leiomyomatosis with intracardiac extension and pulmonary benign metastases, which was subsequently confirmed by MRI and the lesion biopsy.
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spelling pubmed-47817702016-03-08 Uterine Intravenous Leiomyomatosis with Intracardiac Extension and Pulmonary Benign Metastases on FDG PET/CT: A Case Report Wang, Hui-Chun Wang, Yu-Bin Chen, Xiao-Hong Cui, Lan-Lan Korean J Radiol Nuclear Medicine A 48-year-old woman presented with a 50-day history of irregular vaginal bleeding and lower abdominal pain. Ultrasound indicated an extremely large occupying lesion in the pelvic cavity that was highly suggestive of malignancy. Fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) was performed to further assess the nature of pelvic abnormality. PET/CT images demonstrated a diffusely lobulated mass ranging from cervix up to the inferior pole of kidneys with mild FDG uptake. Simultaneously, multiple nodules in bilateral lungs and a hypodense lesion in the right ventricle were shown without FDG-avidity. Based on the imaging results, the presumptive diagnosis was uterine intravenous leiomyomatosis with intracardiac extension and pulmonary benign metastases, which was subsequently confirmed by MRI and the lesion biopsy. The Korean Society of Radiology 2016 2016-03-02 /pmc/articles/PMC4781770/ /pubmed/26957916 http://dx.doi.org/10.3348/kjr.2016.17.2.289 Text en Copyright © 2016 The Korean Society of Radiology http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Nuclear Medicine
Wang, Hui-Chun
Wang, Yu-Bin
Chen, Xiao-Hong
Cui, Lan-Lan
Uterine Intravenous Leiomyomatosis with Intracardiac Extension and Pulmonary Benign Metastases on FDG PET/CT: A Case Report
title Uterine Intravenous Leiomyomatosis with Intracardiac Extension and Pulmonary Benign Metastases on FDG PET/CT: A Case Report
title_full Uterine Intravenous Leiomyomatosis with Intracardiac Extension and Pulmonary Benign Metastases on FDG PET/CT: A Case Report
title_fullStr Uterine Intravenous Leiomyomatosis with Intracardiac Extension and Pulmonary Benign Metastases on FDG PET/CT: A Case Report
title_full_unstemmed Uterine Intravenous Leiomyomatosis with Intracardiac Extension and Pulmonary Benign Metastases on FDG PET/CT: A Case Report
title_short Uterine Intravenous Leiomyomatosis with Intracardiac Extension and Pulmonary Benign Metastases on FDG PET/CT: A Case Report
title_sort uterine intravenous leiomyomatosis with intracardiac extension and pulmonary benign metastases on fdg pet/ct: a case report
topic Nuclear Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4781770/
https://www.ncbi.nlm.nih.gov/pubmed/26957916
http://dx.doi.org/10.3348/kjr.2016.17.2.289
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