Extensive Metastases on 18F-FDG PET/CT in Primary Lymphoepithelioma-Like Carcinoma of the Ovary

Clin Nucl Med. 2016 Nov;41(11):e482-e484. doi: 10.1097/RLU.0000000000001353.

Abstract

We describe extensive metastatic lesions of very rare lymphoepithelioma-like carcinoma originating from the ovary assessed by F-FDG PET/CT. A 59-year-old woman presented with abdominal distention. Pelvis MRI demonstrated a large right ovarian malignant lesion with massive lymphadenopathy suggesting lymphoma. Patient underwent surgical removal. The lymphoepithelioma-like carcinoma arising from the ovary based on immunohistochemistry was pathologically confirmed. Multiple metastases including peritoneum, omentum, and lymph nodes were confirmed. F-FDG PET/CT for staging and evaluation of metastasis after operation showed multiple lymph node metastases. F-FDG PET/CT revealed hepatic metastasis in the dome region of the right liver besides multiple skeletal metastases.

Publication types

  • Case Reports

MeSH terms

  • Bone Neoplasms / diagnostic imaging*
  • Bone Neoplasms / secondary
  • Carcinoma / diagnostic imaging*
  • Carcinoma / secondary
  • Female
  • Fluorodeoxyglucose F18
  • Humans
  • Liver Neoplasms / diagnostic imaging*
  • Liver Neoplasms / secondary
  • Lymph Nodes / diagnostic imaging*
  • Lymphatic Metastasis
  • Lymphoma / diagnostic imaging*
  • Middle Aged
  • Omentum / diagnostic imaging*
  • Ovarian Neoplasms / diagnostic imaging*
  • Ovarian Neoplasms / pathology
  • Peritoneal Neoplasms / diagnostic imaging*
  • Peritoneal Neoplasms / secondary
  • Positron Emission Tomography Computed Tomography
  • Radiopharmaceuticals

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18