Incidental diagnosis of uterine cancer on 99mTc-dimercaptosuccinic acid renal scintigraphy.
A 59-year-old woman with a history of chronic pyelonephritis underwent a renal scintiscan with technetium-99m dimercaptosuccinic acid (99mTc-DMSA). Images showed substantially hypofunctional small left kidney. A large oval extrarenal uptake area above the urine bladder was also seen. An iv X-ray urography showed at the same area a spacious "shadow". A computerized tomography showed a very large uterus, sized 19 x 10 cm, with myomatous nodes, calcifications and disintegration cavities. Hysterectomy and bilateral adnexotomy were performed. Histopathology showed a myomatous uterus with an adenocarcinoma which also affected both ovaria. External radiotherapy followed.
Kraft
Otakar
O
Department of Nuclear Medicine, University Hospital, 17. listopadu 1790, 708 52 Ostrava-Poruba, Czech Republic. otakar.kraft@fnspo.cz
D000230:Adenocarcinoma / Q000000981:diagnostic imaging* / Q000601:surgery; D002908:Chronic Disease; D005260:Female; D006801:Humans; D033162:Incidental Findings; D007668:Kidney / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011704:Pyelonephritis / Q000000981:diagnostic imaging*; D011866:Radioisotope Renography / Q000379:methods*; D019275:Radiopharmaceuticals; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D014594:Uterine Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery
D019275:Radiopharmaceuticals; D019783:Technetium Tc 99m Dimercaptosuccinic Acid