A rare case of false positive metastatic nodes detected at PET/CT scan six months after the laparoscopic treatment of a patient with endometrial cancer

A 61-year-old woman was admitted to this hospital with a diagnosis of a poorly differentiated endometrioid carcinoma with myometrial invasion greater than 50 % (IBG3) at MRI. A laparoscopic surgical treatment with peritoneal washing, a type A radical hysterectomy, bilateral salpingo-oophorectomy, and pelvic and para-aortic lymphadenectomy were programmed. Six months later the patient underwent a PET/CT scan that diagnosed a suspected recurrence into the lymph node tissue laterally to the left common iliac artery. Then, the patient underwent a second laparoscopic procedure for dissection of the positive tissue at PET/CT scan on the external site of common iliac artery. At histological examination the dissected two lymph nodes were negative for metastasis and the patient was regularly dis-charged three days after laparoscopy.

Endometrial cancer; Laparoscopy; Lymphadenectomy; PET-CT; Recurrence.

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