[ 18 F]FDG PET/CT Findings of Primary Uterine Dysgerminoma : A Case Report.
Chunyuan Zeng, Huiyu Zheng, Ziquan Feng et al.
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Case in brief
A 60-year-old woman presented with dull lower abdominal pain. Ultrasonography showed a posterior uterine mass suspicious for sarcoma. FDG PET/CT demonstrated uterine distortion and marked enlargement with diffuse increased uptake, suggesting malignancy. MRI showed a posterior wall mass with lower enhancement than the normal myometrium and internal enhancing septa, raising concern for leiomyosarcoma. After total hysterectomy and bilateral salpingo-oophorectomy, histopathology and immunohistochemistry identified the mass as primary uterine dysgerminoma.
What made this case unusual
Imaging suggested a uterine sarcoma, particularly leiomyosarcoma, but histopathology and immunohistochemistry established primary uterine dysgerminoma, a rare malignant neoplasm.
Diagnostic / clinical pearl
Imaging features of a malignant uterine mass may not establish its histologic type; tissue examination, including immunohistochemistry, was needed to diagnose dysgerminoma in this case.