Kim Alex, Koshevarova Victoria, Mohammadinejad Payam, Murphy Micah, Bhargava Peeyush
Department of Radiology, University of Texas Medical Branch, Galveston, TX.
Radiol Case Rep. 2024 Apr 24;19(7):2845-2848. doi: 10.1016/j.radcr.2024.03.058. eCollection 2024 Jul.
This case report follows a 66-year-old female who originally presented with malignant melanoma in the left knee and recurrence in the left inguinal region. This prompted a whole body FDG PET/CT scan which showed incidental focal hypermetabolism in the uterus. The diagnosis of endometrial cancer was confirmed at biopsy, and the patient was treated with total abdominal hysterectomy. Melanoma patients are at increased risk of second primary malignancy, and endometrial cancer is a common second primary often diagnosed in cancer survivors. Incidental endometrial focal hypermetabolism should be investigated further for a synchronous malignancy, especially in a post-menopausal woman.
本病例报告的患者为一名66岁女性，最初表现为左膝恶性黑色素瘤，后左腹股沟区复发。这促使其进行了全身FDG PET/CT扫描，结果显示子宫内有偶然的局灶性代谢亢进。活检确诊为子宫内膜癌，患者接受了全腹子宫切除术。黑色素瘤患者发生第二原发性恶性肿瘤的风险增加，子宫内膜癌是癌症幸存者中常见的第二原发性肿瘤。对于偶然发现的子宫内膜局灶性代谢亢进，应进一步检查是否存在同步恶性肿瘤，尤其是在绝经后女性中。
