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Inguinal recurrence of early stage endometrial cancer after 7 months of surgical staging: the role of PET–CT in diagnosis and management

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Abstract

The inguinal area is an unexpected recurrence site for early stage endometrial cancer. A 45 year old woman who underwent surgical staging for endometrial cancer presented with a right groin mass at the seventh month of follow-up. Fluorine-18 fluorodeoxyglucose positron emission tomography–computed tomography (PET–CT) revealed pathologic activity accumulation in only the inguinal mass and no distant metastasis. Based on the PET–CT results, local treatment for the isolated single recurrence was chosen instead of a systemic treatment option. The mass was excised with right inguinal superficial lymph node dissection. Histopathologic examination revealed the recurrence of an endometrioid-type adenocancer. In conclusion, the inguinal region should be considered for recurrences, even at the early stage. PET–CT may be a helpful method for diagnosis, excluding systemic metastasis, and planning the treatment in such cases.

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Correspondence to Salih Taşkın.

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Ortaç, F., Taşkın, S. Inguinal recurrence of early stage endometrial cancer after 7 months of surgical staging: the role of PET–CT in diagnosis and management. Int J Clin Oncol 17, 283–285 (2012). https://doi.org/10.1007/s10147-011-0279-2

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  • DOI: https://doi.org/10.1007/s10147-011-0279-2

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