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Follicular Lymphoma mimicking Metastatic Nodes on the F-18 FDG PET/CT and MRI for Staging of Endometrial Cancer

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Abstract

A 53-year-old woman was diagnosed with endometrial carcinoma by vaginal bleeding. F-18 fluorodeoxy glucose positron emission tomography PET/CT (F-18 FDG PET/CT) scan for staging showed intense focal FDG uptake in the endometrium suggesting endometrial malignancy. PET/CT showed multiple node uptakes in the pericaval region, paraaortic region, common iliac, and both internal iliac and external iliac regions suggesting multiple pelvic and retroperitoneal node metastases. MRI showed multiple metastatic lymphadenopathy in the retroperitoneum and pelvic cavity. Pathologic diagnosis performed with dissected pelvic and paraaortic nodes was confirmed as a follicular malignant lymphoma positive for B–cell lymphoma-2(Bcl-2) stain, not the metastatic node of primary endometrioid carcinoma.

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References

  1. Sato K, Ozaki K, Fujiwara S, Oh I, Matsuyama T, Ohmine K, et al. Incidental carcinomas detected by PET/CT scans in patients with malignant lymphoma. Int J Hematol. 2010;92:647–50.

    Article  PubMed  Google Scholar 

  2. Makis W, Hickeson M, Novales-Diaz JA. Unsuspected synchronous thyroid carcinoma revealed on a post-therapy F-18 FDG PET/CT, in a patient with follicular lymphoma. Clin Nucl Med. 2010;35:879–81.

    Article  PubMed  Google Scholar 

  3. Papajík T, Mysliveček M, Sedová Z, Buriánková E, Procházka V, Raida L, et al. Synchronous second primary neoplasms detected by initial staging F-18 FDG PET/CT examination in patients with non-Hodgkin lymphoma. Clin Nucl Med. 2011;36:509–12.

    Article  PubMed  Google Scholar 

  4. Fujii M, Shirai T, Asada K, Saito Y, Hirose M, Suda T. Synchronous diffuse large B-cell lymphoma and squamous cell lung carcinoma. Respirol Case Rep. 2014;2:33–5.

    PubMed  PubMed Central  Google Scholar 

  5. Kakhki VR, Shahriari S, Treglia G, Hasanzadeh M, Zakavi SR, Yousefi Z, et al. Diagnostic performance of fluorine 18 fluorodeoxyglucose positron emission tomography imaging for detection of primary lesion and staging of endometrial cancer patients: systematic review and meta-analysis of the literature. Int J Gynecol Cancer. 2013;23:1536–43.

    Article  PubMed  Google Scholar 

  6. Suga T, Nakamoto Y, Saga T, Higashi T, Hamanaka Y, Tatsumi M, et al. Clinical value of FDG-PET for preoperative evaluation of endometrial cancer. Ann Nucl Med. 2011;25:269–75.

    Article  PubMed  Google Scholar 

  7. Lee HB, Park JC, Lee YS, Jeung IC, Park EK. Unexpected synchronous follicular lymphoma of paraaortic and pelvic lymph nodes in a patient with endometrial carcinoma: a case report. Eur J Gynaecol Oncol. 2011;32:334–5.

    CAS  PubMed  Google Scholar 

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Correspondence to Seok-Nam Yoon.

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Seok Nam Yoon declare no conflict of interest.

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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from the patient for being included in the study.

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Yoon, SN. Follicular Lymphoma mimicking Metastatic Nodes on the F-18 FDG PET/CT and MRI for Staging of Endometrial Cancer. Nucl Med Mol Imaging 52, 159–161 (2018). https://doi.org/10.1007/s13139-016-0458-1

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  • DOI: https://doi.org/10.1007/s13139-016-0458-1

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