Incidental Detection of Ovarian Cancer as a Solitary Peridiaphragmatic Distant Lymph Node Metastasis without Pelvic Lesions on <sup>18</sup>F-FDG PET/CT

The spreading pattern of ovarian carcinoma is unique and unlike most other cancers, because exfoliated ovarian cancer cells primarily disseminate within the abdominal cavity, which are then transported throughout the peritoneum by physiological peritoneal fluid. An initial manifestation of a solitar...

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Main Authors: Hye Joo Son, Yong-Moon Lee, Jai-Hyuen Lee
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/3/422
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author Hye Joo Son
Yong-Moon Lee
Jai-Hyuen Lee
author_facet Hye Joo Son
Yong-Moon Lee
Jai-Hyuen Lee
author_sort Hye Joo Son
collection DOAJ
description The spreading pattern of ovarian carcinoma is unique and unlike most other cancers, because exfoliated ovarian cancer cells primarily disseminate within the abdominal cavity, which are then transported throughout the peritoneum by physiological peritoneal fluid. An initial manifestation of a solitary peridiaphragmatic distant metastatic lymph node without peritoneal involvement is very rare. This study reports a case with an incidentally found single hypermetabolic mass in the peridiaphragmatic space without a pelvic lesion in the baseline staging <sup>18</sup> F-FDG PET/CT that histologically turned out to be metastatic serous papillary carcinoma due to ovarian cancer. <sup>18</sup>F-FDG PET/CT may allow the identification of the initial manifestation of unexpected distant oligometastatic statuses of an unknown primary ovarian cancer.
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spelling doaj.art-9eea1ff913004933a3161ad8c7fb0ace2023-12-03T12:14:28ZengMDPI AGDiagnostics2075-44182021-03-0111342210.3390/diagnostics11030422Incidental Detection of Ovarian Cancer as a Solitary Peridiaphragmatic Distant Lymph Node Metastasis without Pelvic Lesions on <sup>18</sup>F-FDG PET/CTHye Joo Son0Yong-Moon Lee1Jai-Hyuen Lee2Department of Nuclear Medicine, Dankook University College of Medicine, 201 Manghyang-ro, Dongnam-gu, Cheonan, Chung Nam 31116, KoreaDepartment of Pathology, Dankook University College of Medicine, 201 Manghyang-ro, Dongnam-gu, Cheonan, Chung Nam 31116, KoreaDepartment of Nuclear Medicine, Dankook University College of Medicine, 201 Manghyang-ro, Dongnam-gu, Cheonan, Chung Nam 31116, KoreaThe spreading pattern of ovarian carcinoma is unique and unlike most other cancers, because exfoliated ovarian cancer cells primarily disseminate within the abdominal cavity, which are then transported throughout the peritoneum by physiological peritoneal fluid. An initial manifestation of a solitary peridiaphragmatic distant metastatic lymph node without peritoneal involvement is very rare. This study reports a case with an incidentally found single hypermetabolic mass in the peridiaphragmatic space without a pelvic lesion in the baseline staging <sup>18</sup> F-FDG PET/CT that histologically turned out to be metastatic serous papillary carcinoma due to ovarian cancer. <sup>18</sup>F-FDG PET/CT may allow the identification of the initial manifestation of unexpected distant oligometastatic statuses of an unknown primary ovarian cancer.https://www.mdpi.com/2075-4418/11/3/422ovarian serous papillary carcinomaoligometastasesperidiaphragmatic lymph node<sup>18</sup>F-FDG PET/CT
spellingShingle Hye Joo Son
Yong-Moon Lee
Jai-Hyuen Lee
Incidental Detection of Ovarian Cancer as a Solitary Peridiaphragmatic Distant Lymph Node Metastasis without Pelvic Lesions on <sup>18</sup>F-FDG PET/CT
Diagnostics
ovarian serous papillary carcinoma
oligometastases
peridiaphragmatic lymph node
<sup>18</sup>F-FDG PET/CT
title Incidental Detection of Ovarian Cancer as a Solitary Peridiaphragmatic Distant Lymph Node Metastasis without Pelvic Lesions on <sup>18</sup>F-FDG PET/CT
title_full Incidental Detection of Ovarian Cancer as a Solitary Peridiaphragmatic Distant Lymph Node Metastasis without Pelvic Lesions on <sup>18</sup>F-FDG PET/CT
title_fullStr Incidental Detection of Ovarian Cancer as a Solitary Peridiaphragmatic Distant Lymph Node Metastasis without Pelvic Lesions on <sup>18</sup>F-FDG PET/CT
title_full_unstemmed Incidental Detection of Ovarian Cancer as a Solitary Peridiaphragmatic Distant Lymph Node Metastasis without Pelvic Lesions on <sup>18</sup>F-FDG PET/CT
title_short Incidental Detection of Ovarian Cancer as a Solitary Peridiaphragmatic Distant Lymph Node Metastasis without Pelvic Lesions on <sup>18</sup>F-FDG PET/CT
title_sort incidental detection of ovarian cancer as a solitary peridiaphragmatic distant lymph node metastasis without pelvic lesions on sup 18 sup f fdg pet ct
topic ovarian serous papillary carcinoma
oligometastases
peridiaphragmatic lymph node
<sup>18</sup>F-FDG PET/CT
url https://www.mdpi.com/2075-4418/11/3/422
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