F-18 FDG PET/CT of Concurrent Cutaneous, Osseous, and Bilateral Breast Metastases From Endometrial Carcinoma.
Jinchuan Chen, Qian Wang
✦ AI-curated · Sources linked
Case in brief
A 54-year-old woman with endometrioid adenocarcinoma developed skin papules 22 months after hysterectomy. Biopsy showed that the skin lesions originated from the endometrial carcinoma. Restaging with F-18 FDG PET/CT demonstrated widespread hypermetabolic disease involving the skin, lymph nodes, skeleton, and both breasts. Some vertebral and breast lesions had no corresponding abnormality on CT.
What made this case unusual
The metastatic spread involved the skin, bone, and both breasts, and PET-positive vertebral and breast lesions were not visible on CT.
Diagnostic / clinical pearl
In this case, F-18 FDG PET/CT revealed disseminated disease at unexpected sites, including lesions without CT correlates, during restaging of endometrial carcinoma.