A Novel Diagnostic Strategy Using 16α-[18F]-Fluoro-17-β-Estradiol (18F-FES) PET/MRI to Achieve Complete Resection of Intravenous Leiomyomatosis in Reproductive-Age Women.

Abstract:

:Intravenous leiomyomatosis is a life-threatening leiomyoma that grows into the extrauterine venous system. A high recurrence rate has been reported in reproductive-age women who undergo only tumor excision to preserve fertility. Precise diagnosis of tumor extension is essential to achieve complete resection. A 24-year-old woman presented with hypermenorrhea. Contrast-enhanced MRI showed an intramural myoma with worm-like extension into the right parametrium. F-FES PET/MRI accurately depicted the extension with strong FES activity into the right uterine vein, whereas F-FDG PET/MRI excluded the possibility of malignancy. These modalities can be a novel strategy to manage such cases of intractable intravenous leiomyomatosis.

journal_name

Clin Nucl Med

authors

Chino Y,Tsuyoshi H,Tsujikawa T,Okazawa H,Yoshida Y

doi

10.1097/RLU.0000000000001678

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

e335-e336

issue

7

eissn

0363-9762

issn

1536-0229

journal_volume

42

pub_type

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