Endometriosis with FDG uptake on PET.

Details

Serval ID
serval:BIB_CBA62ACBB486
Type
Article: article from journal or magazin.
Collection
Publications
Title
Endometriosis with FDG uptake on PET.
Journal
European journal of obstetrics, gynecology, and reproductive biology
Author(s)
Jeffry L., Kerrou K., Camatte S., Metzger U., Lelièvre L., Talbot J.N., Lecuru F.
ISSN
0301-2115 (Print)
ISSN-L
0301-2115
Publication state
Published
Issued date
01/12/2004
Peer-reviewed
Oui
Volume
117
Number
2
Pages
236-239
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
The value of [18F]fluorodeoxyglucose positron emission tomography (FDG-PET) uptake in endometriosis has not yet been extensively reported.
A 32-year-old woman was examined to find an explanation for right pelvic pain associated with right subcostal pain. A computerised tomography (CT) scan was compatible with a haemangioma or a focus of endometriosis in the liver. Transvaginal sonography and magnetic resonance imaging (MRI) showed a complex ovarian cyst on the left. Blood CA125 levels were elevated. FDG-PET revealed a focus of uptake in the right paravesical area. Laparoscopy showed a left endometrioma associated with diffuse inflammatory pelvic adhesions. After surgery and 3 months GnRH agonist treatment the pain had disappeared and neither MRI nor FDG-PET showed any pelvic abnormality. The patient subsequently presented with dyspareunia and rectal pain resulting from a right uterosacral nodule and a rectal nodule. These were resected laparoscopically. After a 1-year follow-up, the patient is doing well.
Endometriosis can give rise to false-positive results on FDG-PET. However, the FDG uptake in this particular case of endometriosis seems to have been due to inflammation rather than to a cyst. This report highlights the relationship between some of the biological features of endometriosis and some observed in neoplastic lesions.
Keywords
Abdominal Pain/etiology, Adult, CA-125 Antigen/blood, Endometriosis/complications, Endometriosis/diagnosis, Endometriosis/therapy, Endosonography, Female, Fluorodeoxyglucose F18, Gonadotropin-Releasing Hormone/therapeutic use, Gynecologic Surgical Procedures, Hormones/therapeutic use, Humans, Laparoscopy, Magnetic Resonance Imaging, Pelvic Pain, Positron-Emission Tomography/methods, Radiopharmaceuticals, Recurrence, Reoperation, Tomography, X-Ray Computed, Treatment Outcome
Pubmed
Web of science
Create date
31/10/2019 18:21
Last modification date
05/02/2021 7:26
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