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Extraovarian primary peritoneal carcinoma: staging with 18F-FDG PET/CT

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Abstract

A 69-year-old woman who presented with left lower quadrant abdominal pain and elevated serum cancer antigen 125 (CA-125) levels was referred for an MRI and an 18F-FDG PET/CT to evaluate a suspicious abdominal mass seen on ultrasound. PET/CT showed extensive, intensely FDG-avid, omental and pelvic peritoneal thickening with no suspicious ovarian or colon masses. Based on the PET/CT results, the patient had extensive debulking surgery and histopathological evaluation revealed an extraovarian primary peritoneal carcinoma (EOPPC). 18F-FDG PET/CT may be useful in differentiating EOPPC from other types of peritoneal carcinomatosis, and in determining the extent of the disease to better guide surgical management and improve long term outcomes.

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Authors and Affiliations

  1. Department of Nuclear Medicine, McGill University Health Centre, Montreal, QC, Canada

    Rajan Rakheja & Marc Hickeson

  2. Department of Nuclear Medicine, Brandon Regional Health Centre, Brandon, MB, Canada

    William Makis

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  1. Rajan Rakheja
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  2. William Makis
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  3. Marc Hickeson
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Correspondence to William Makis.

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Rakheja, R., Makis, W. & Hickeson, M. Extraovarian primary peritoneal carcinoma: staging with 18F-FDG PET/CT. Abdom Imaging 37, 304–308 (2012). https://doi.org/10.1007/s00261-011-9722-0

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  • DOI: https://doi.org/10.1007/s00261-011-9722-0

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