Department of Nuclear Medicine, Kyung Hee University School of Medicine, Hoegi-dong Dongdaemun-gu, Seoul, Republic of Korea.
Clin Nucl Med. 2011 Jun;36(6):e39-41. doi: 10.1097/RLU.0b013e31821739b7.
We report F-18 FDG PET/CT images of biopsy-proven intramuscular metastasis from primary uterine cervix cancer. A 70-year-old woman was admitted because of a mass in the left axilla. She was diagnosed with uterine cervix cancer and underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, and pelvic node dissection and received adjuvant chemotherapy and radiation therapy 9 years ago. Magnetic resonance imaging showed a large soft tissue mass in the intramuscular region of the left axilla. The mass showed intense F-18 FDG uptake with a central necrotic portion on F-18 FDG PET/CT. Hypermetabolic lymph nodes were also noted in the left axilla, interpectoral, and left supraclavicular areas. Additionally, several hypermetabolic nodules were noted in both lungs. The lesion in the left axilla was excised and the pathologic results were consistent with metastasis from uterine cervix cancer.
我们报告了一例经活检证实的原发性子宫颈癌肌肉内转移的 F-18 FDG PET/CT 图像。一名 70 岁女性因左腋窝肿块就诊。她被诊断为子宫颈癌，并接受了全子宫切除术、双侧输卵管卵巢切除术和盆腔淋巴结清扫术，9 年前接受了辅助化疗和放疗。磁共振成像显示左腋窝肌肉区域有一个大的软组织肿块。F-18 FDG PET/CT 显示肿块摄取 F-18 FDG 强烈，中央有坏死部分。还注意到左腋窝、胸肌间和左锁骨上区域的代谢活跃淋巴结。此外，还在双肺中发现了几个代谢活跃的结节。左腋窝的病变被切除，病理结果与子宫颈癌转移一致。
