The findings of positron emission tomography combined with computed tomography (PET/CT) in a patient with FIGO stage IIA adenoma malignum of the uterine cervix are described in this article. PET/CT showed that the cervical tumor was intensely hypermetabolic with no evidence of disease spread. However, lymphadenectomy revealed metastatic spread to paraaortic lymph nodes. PET/CT may be useful in identifying primary site of disease in patients with adenoma malignum; however, the utility in detecting metastatic nodal disease remains to be determined.
From the Departments of *Radiation Oncology, †Pathology, ‡Nuclear Medicine, and §Gynecologic Oncology, The University of Texas M D Anderson Cancer Center, Houston, TX.
Received for publication June 11, 2010; revision accepted September 10, 2010.
Reprints: Pedro T. Ramirez, MD, Department of Gynecologic Oncology, Unit 440, The University of Texas M D Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030. E-mail: firstname.lastname@example.org.