title: Inguinal recurrence of early stage endometrial cancer after 7 months of surgical staging: the role of PET-CT in diagnosis and management.
abstract: The inguinal area is an unexpected recurrence site for early stage endometrial cancer. A 45 year old woman who underwent surgical staging for endometrial cancer presented with a right groin mass at the seventh month of follow-up. Fluorine-18 fluorodeoxyglucose positron emission tomography-computed tomography (PET-CT) revealed pathologic activity accumulation in only the inguinal mass and no distant metastasis. Based on the PET-CT results, local treatment for the isolated single recurrence was chosen instead of a systemic treatment option. The mass was excised with right inguinal superficial lymph node dissection. Histopathologic examination revealed the recurrence of an endometrioid-type adenocancer. In conclusion, the inguinal region should be considered for recurrences, even at the early stage. PET-CT may be a helpful method for diagnosis, excluding systemic metastasis, and planning the treatment in such cases.
authors.affiliation: Department of Obstetrics and Gynecology, Ankara University School of Medicine, Ankara, Turkey.
authors.forename: Fırat
authors.initials: F
authors.lastname: Ortaç
authors.forename: Salih
authors.initials: S
authors.lastname: Taşkın
mesh_terms: D016889:Endometrial Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D007264:Inguinal Canal; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D064847:Multimodal Imaging; D009367:Neoplasm Staging; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D014057:Tomography, X-Ray Computed
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18