title: Whole-body FDG PET/CT in diagnosis of internal mammary nodal metastasis of ovarian carcinosarcoma.
abstract: Internal mammary lymph node is rare metastatic site in ovarian neoplasm. In this study, we report an ovarian carcinosarcoma with peritoneal carcinomatosis initially. Annually, whole-body FDG PET/CT is indicated during 4 years. Tiny peritoneal nodules are found on the first-time FDG PET/CT imaging. A high grade of FDG-avid internal mammary nodal activity is shown on the secondary time of FDG PET/CT imaging. Pathologic result of excision biopsy demonstrates carcinoma metastasis. On the recent imaging, significant FDG-avid peritoneal and subphrenic carcinomatosis has happened again. After surgery and chemotherapy, the patient is still followed up in clinic.
authors.affiliation: Department of Nuclear Medicine, Chung-Ho Memorial Hospital, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. 800175@ms.kmuh.org.tw
authors.forename: Yu-Wen
authors.initials: YW
authors.lastname: Chen
authors.forename: Chia-Yang
authors.initials: CY
authors.lastname: Lin
authors.forename: Po-Nien
authors.initials: PN
authors.lastname: Hou
authors.forename: Chuan-Shiaw
authors.initials: CS
authors.lastname: Lee
authors.forename: Ming-Feng
authors.initials: MF
authors.lastname: Hou
authors.forename: Eing-Mei
authors.initials: EM
authors.lastname: Tsai
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000556:secondary*; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008207:Lymphatic Metastasis; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology*; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed; D051598:Whole Body Imaging
chemical_list: D019788:Fluorodeoxyglucose F18