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Uterine fibroids with positive 18F-FDG PET/CT image and significantly increased CA19-9: A case report.

Abstract Uterine fibroids are the most common pelvic solid tumors and common to 25% of women. F-fluorodexyglucose (F-FDG) is an energy metabolism tracer. Although FDG is generally concentrated in malignant lesions with high glucose metabolism, it can also accumulate in normal tissues, benign lesions, and inflammatory sites. The exact mechanism of FDG uptake by uterine fibroids is not clear. Here, we report a case of uterine fibroids with positive F-FDG positron emission tomography/computed tomography (PET/CT) imaging and significantly increased CA19-9.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390568
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 51
DP  - 2017 Dec
TI  - Uterine fibroids with positive 18F-FDG PET/CT image and significantly increased
      CA19-9: A case report.
PG  - e9421
LID - 10.1097/MD.0000000000009421 [doi]
AB  - RATIONALE: Uterine fibroids are the most common pelvic solid tumors and common to
      25% of women. F-fluorodexyglucose (F-FDG) is an energy metabolism tracer.
      Although FDG is generally concentrated in malignant lesions with high glucose
      metabolism, it can also accumulate in normal tissues, benign lesions, and
      inflammatory sites. The exact mechanism of FDG uptake by uterine fibroids is not 
      clear. Here, we report a case of uterine fibroids with positive F-FDG positron
      emission tomography/computed tomography (PET/CT) imaging and significantly
      increased CA19-9. PATIENTS CONCERNS: The patient was a 43-year-old woman and
      admitted to our hospital because of "1-year-extended menstrual periods." At
      admission, she had normal CA125, AFP, and CEA level and CA19-9>1000.00 U/mL.
      Gynecological transvaginal ultrasound found enlarged uterus with an anterior
      hypoechoic area of 3.9 x 4.2 cm. CT and contrast-enhanced CT showed significantly
      enhanced mass shadow on the left anterior wall of uterus. F-FDG PET/CT showed
      increased FDG metabolism of tumor in the anterior wall of the uterus.
      INTERVENTIONS: Laparoscopic hysterectomy was performed. DIAGNOSIS: Pathological
      examination demonstrated subserosal leiomyoma. OUTCOMES: Her CA19-9 level dropped
      to 91.50 U/mL 1 day after surgery. LESSONS: Significantly elevated CA19-9 was
      positioned in the uterus by PET/CT imaging, which not only avoided unnecessary
      gastrointestinal endoscopy and reduced the suffering of patients, but also
      strengthened the operation confidence in gynecologists.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Ma, Yan
AU  - Ma Y
AD  - Gynecological Department.
FAU - Shao, Xiaonan
AU  - Shao X
AD  - Department of Nuclear Medicine, The Third Affiliated Hospital of Soochow
      University, Changzhou, China.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Antigens, Tumor-Associated, Carbohydrate)
RN  - 0 (carbohydrate antigen 199, human)
RN  - 0Z5B2CJX4D (Fluorodeoxyglucose F18)
SB  - AIM
SB  - IM
MH  - Adult
MH  - Antigens, Tumor-Associated, Carbohydrate/*blood
MH  - Female
MH  - Fluorodeoxyglucose F18/metabolism
MH  - Humans
MH  - Leiomyoma/blood/*diagnostic imaging/metabolism
MH  - Positron Emission Tomography Computed Tomography
PMC - PMC5758270
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009421 [doi]
AID - 00005792-201712220-00155 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(51):e9421. doi: 10.1097/MD.0000000000009421.