title: Detection of Intramural Choriocarcinoma of the Uterus with 18F-FDG-PET. A Case Report.
abstract: We are reporting the case of a 37-year-old woman with rising beta-human chorionic gonadotropin (HCG) levels over 4 years. Curettage was performed 5 times and diagnostic laparoscopy twice, but no trophoblastic tissue was found. Vaginal ultrasound and power Doppler sonography showed a solid tumor of the anterior uterus wall with high vascularization. 18F-2-deoxy-D-glucose-positron emission tomography (FDG-PET) revealed a single focus of FDG uptake in projection of the uterus. Sonographically, the tumor of the uterus appeared like a leiomyoma. Thus focal FDG uptake was the sole indicator for a malignant trophoblastic tumor. Histological examination of the tumor revealed a choriocarcinoma.
authors.affiliation: Department of Gynecology and Obstetrics University Hospital Eppendorf, Hamburg, Germany
authors.initials: J
authors.lastname: Dose
authors.initials: K
authors.lastname: Bohuslavizki
authors.initials: B
authors.lastname: Hüneke
authors.initials: C
authors.lastname: Lindner
authors.initials: F
authors.lastname: Jänicke