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Mesonephric Adenocarcinoma of the Uterine Fundus Exhibiting High 18F-FDG Uptake

Authors
  • Kim, Hyung Kyung
  • Won, Kyu Yeoun
  • Kim, Chanwoo1
  • 1 Department of Nuclear Medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul 05278, Korea
Type
Published Article
Journal
Diagnostics
Publisher
MDPI
Publication Date
Sep 21, 2020
Volume
10
Issue
9
Identifiers
DOI: 10.3390/diagnostics10090729
PMID: 32967381
PMCID: PMC7555147
Source
PubMed Central
Keywords
License
Green

Abstract

Mesonephric adenocarcinoma is a rare tumor that is considered to develop from mesonephric remnants of the female genital tract. This tumor usually occurs in the lateral wall of the uterine cervix. Herein, we present an exceptionally rare case of mesonephric adenocarcinoma located in the uterine fundus. The tumor exhibited intense hypermetabolism on 18F-FDG PET/CT. Based on the characteristic histologic features and immunohistochemical phenotypes, the diagnosis of mesonephric adenocarcinoma was confirmed. The patient underwent hysterectomy with bilateral salpingo-oophorectomy and pelvic lymph node dissection, and no lymph node or distant metastasis was identified. After 20 months of surveillance without adjuvant therapy, she remains free of relapse.

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