A Rare Case of Primary Endometrial Hepatoid Adenocarcinoma on 18F-FDG PET/CT. (July 2019)

• Record Type: Journal Article
• Authors: Yin, Hongyan; Hu, Yan; Xiu, Yan; Luo, Rongkui; Shi, Hongcheng
• Is Part Of: Clinical nuclear medicine. Volume 44:Number 7(2019)
• Publication Date: 2019-07
• Subjects: 18F-FDG -- α-fetoprotein -- endometrial hepatoid adenocarcinoma -- PET/CT; Nuclear medicine -- Periodicals; Radioisotope scanning -- Periodicals; Nuclear Medicine -- Periodicals; 616.07575
• DOI: 10.1097/RLU.0000000000002538
• Languages: English
• ISSNs: 0363-9762

Abstract

Abstract : Abstract: Primary endometrial hepatoid adenocarcinoma is a rare tumor. We present a case of a 64-year-old woman with vaginal bleeding for 2 months and a markedly elevated serum α-fetoprotein of 3931 ng/mL. Hysteroscopic segmental curettage revealed endometrial adenocarcinoma. A pelvic MRI was performed for local tumor invasion, which showed only endometrial mass. An abdominal enhanced CT showed no liver lesion, which excluded primary hepatic carcinoma. Staging 18 F-FDG PET/CT demonstrated a hypermetabolic mass in the endometrium. A total hysterectomy with bilateral salpingo-oophorectomy and regional lymphadenectomy were performed. Postoperatively, the mass was diagnosed as primary endometrial hepatoid adenocarcinoma.