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.
Similar content being viewed by others
References
Carr JA, Schoon PA, Look KY (1996) An atypical recurrence of endometrial carcinoma following estrogen replacement therapy. Gynecol Oncol 60:498–499
Bosscher J, Barnhill D, O’Connor D et al (1994) Clinical stage IB endometrial adenocarcinoma with an isolated small bowel metastasis. Gynecol Oncol 52:99–101
Litton GJ, Ward JH, Abbott TM et al (1991) Isolated calcaneal metastasis in a patient with endometrial adenocarcinoma. Cancer 67:1979–1983
Espinos JJ, Garcia-Patos V, Guiu XM et al (1993) Early skin metastasis of endometrial adenocarcinoma: case report and review of the literature. Cutis 52:109–111
Conflict of interest
There is no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10147-011-0279-2