Uterine Intravenous Leiomyomatosis with Intracardiac Extension and Pulmonary Benign Metastases on FDG PET/CT: A Case Report.
10.3348/kjr.2016.17.2.289
- Author:
Hui Chun WANG
1
;
Yu Bin WANG
;
Xiao Hong CHEN
;
Lan Lan CUI
Author Information
1. PET/CT Center, Gansu Provincial Hospital, Lanzhou, Gansu 730000, China. gssypetct@163.com
- Publication Type:Case Reports
- Keywords:
Uterine intravenous leiomyomatosis;
Heart tumor;
Lung metastases;
FDG PET/CT
- MeSH:
Female;
Fluorodeoxyglucose F18/chemistry;
Humans;
Leiomyoma/pathology/radiography;
Leiomyomatosis/pathology/*radiography;
Lung Neoplasms/radiography/*secondary;
Magnetic Resonance Imaging;
Middle Aged;
Positron-Emission Tomography;
Tomography, X-Ray Computed;
Uterine Neoplasms/pathology/radiography;
Vena Cava, Inferior/pathology
- From:Korean Journal of Radiology
2016;17(2):289-294
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
