RT - European Journal of Gynaecological Oncology ID - 10.12892/ejgo4991.2019 T1 - 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 A1 - R. Tinelli A1 - S. Guicciardini A1 - S. Uccella A1 - E. Cicinelli A1 - F. Romano A1 - G. Trojano K1 - Endometrial cancer; Laparoscopy; Lymphadenectomy; PET-CT; Recurrence. YR - 2019 SP - 1039 AB -
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.