Radiat Oncol J.  2011 Sep;29(3):214-217. 10.3857/roj.2011.29.3.214.

Variable uterine uptake of FDG in adenomyosis during concurrent chemoradiation therapy for cervical cancer

Affiliations
  • 1Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sj5201.huh@samsung.com
  • 2Department of Obstetrics and Gynaecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 3Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

To avoid improper tumor volume contouring in radiation therapy (RT) and other invasive procedures, we report a case of uterine adenomyosis showing increased 18F-fluorodeoxyglucose (FDG) uptake on positron emission tomography (PET)/computed tomography (CT) mimicking malignant tumor in a 44-year-old woman during concurrent chemoradiation therapy (CCRT) for uterine cervical cancer. The adenomyosis was not associated with her menstrual cycle or with normal endometrium uptake, and it resolved one month after completion of RT. This case indicates that uterine adenomyosis in a premenopausal woman may show false positive uptake of 18FDG-PET/CT associated with CCRT.

Keyword

Positron emission tomography/computed tomography; Concurrent chemoradiation therapy; Adenomyosis

MeSH Terms

Adenomyosis
Adult
Endometrium
Female
Humans
Menstrual Cycle
Positron-Emission Tomography
Tumor Burden
Uterine Cervical Neoplasms
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