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18F-FDG PET/CT in a Case of Metastatic Breast Cancer to the Vulva

Guglielmo, Priscilla, MD*; Paderno, Mariachiara, MD; Elisei, Federica, MD; Guerra, Luca, MD; Landoni, Claudio, MD*; Buda, Alessandro, MD; Crivellaro, Cinzia, MD*‡§

doi: 10.1097/RLU.0000000000002583
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A 56-year-old woman, previously treated for breast cancer, presented to gynecologists with a lump of the left labium major of the vulva. The FDG pattern resembled as a cIV stage vulvar cancer, whereas biopsy indicated metastases from breast cancer. Metastatic disease to the vulva is particularly uncommon, representing 5% to 8% of all vulvar cancer lesions. However, gynecological uptakes, including vulvar site, have to be kept in mind as a possible site of metastatic lesions from breast cancer.

From the *University of Milano–Bicocca;

Clinic of Obstetrics and Gynaecology,

Nuclear Medicine Department, San Gerardo Hospital; and

§Tecnomed Foundation, University of Milano–Bicocca, via Pergolesi, Monza, Italy.

Received for publication October 30, 2018; revision accepted March 3, 2019.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Priscilla Guglielmo, MD, University of Milano–Bicocca, via Cadore 48, 20900 Monza, MB, Italy. E-mail:

Online date: April 15, 2019

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