title: False positive lymph node activity on positron emission tomography (PET/CT) due to hemostatic compresses.
abstract: Combined positron emission tomography and computerized tomography (PET/CT) using 18-fluorodeoxyglucose (18-FDG) is the most effective study to identify invasion of pelvic and/or para-aortic lymph node chains in cancers of the uterine cervix. We report the case of a patient who underwent laparoscopic hysterectomy and cytoreductive surgery for endometrial cancer; postoperative PET/CT identified an intense localization of 18-FDG in the region of the right common iliac chain. This finding led to an open re-exploration at which the only finding was a granuloma arising in reaction to a hemostatic sponge.
authors.affiliation: Service de gynécologie-obstétrique A, hôpital Arnaud-de-Villeneuve, 371, rue du Doyen-Gaston-Giraud, 34295 Montpellier cedex 5, France. sandrinefournet@hotmail.com
authors.forename: S
authors.initials: S
authors.lastname: Fournet
authors.forename: P L
authors.initials: PL
authors.lastname: Giacalone
authors.forename: G
authors.initials: G
authors.lastname: Rathat
authors.forename: C
authors.initials: C
authors.lastname: Rouleau
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D016889:Endometrial Neoplasms / Q000601:surgery; D005189:False Positive Reactions; D005260:Female; D019788:Fluorodeoxyglucose F18; D015745:Granuloma, Foreign-Body / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008207:Lymphatic Metastasis / Q000000981:diagnostic imaging*; D008875:Middle Aged; D049268:Positron-Emission Tomography; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D019275:Radiopharmaceuticals; D015503:Surgical Sponges / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18