Nucl Med Mol Imaging.  2020 Oct;54(5):249-251. 10.1007/s13139-020-00656-5.

18F-FDG PET/CT Imaging of Peritoneal Fibrosis Mimicking Persistent Metastatic Ovarian Carcinoma

Affiliations
  • 1Department of Nuclear Medicine, ICANS, 17, rue Albert Calmette, BP 23025, 67033 Strasbourg Cedex, France
  • 2Department of Pathology, Strasbourg University Hospital, Strasbourg, France
  • 3Department of Surgical Gynecology, Strasbourg University Hospital, Strasbourg, France
  • 4Medical Oncology Department, ICANS, Strasbourg, France

Abstract

A 65-year-old woman was addressed for clinical and biological suspicion of ovarian cancer relapse. 18F-FDG PET/CT revealed massive peritoneal carcinomatosis. Post-chemotherapy PET/CT showed complete metabolic response in initial localizations albeit three new 18F-FDG uptakes appeared in the mesentery and in the retro-hepatic space. Close follow-up (including PET/ CT scan) and surgical examination of the abdominal cavity confirmed the absence of malignancy and the benign nature of these lesions, which appeared to be peritoneal fibrosis mimicking persistent carcinomatosis.

Keyword

18F-FDG PET; Peritoneal carcinomatosis; Peritoneal fibrosis; Metastatic ovarian cancer
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