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PET/CT in a Patient With Adenoma Malignum of the Uterine Cervix

Sharp, Hadley J. MD*; Pinnix, Chelsea C. MD, PhD*; Jhingran, Anuja MD*; Euscher, Elizabeth D. MD†; Rohren, Eric M. MD, PhD‡; Ramirez, Pedro T. MD§

doi: 10.1097/RLU.0b013e31820aa346
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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: peramire@mdanderson.org.

© 2011 Lippincott Williams & Wilkins, Inc.