Hypermetabolic Subserosal Uterine Leiomyoma With Synchronous Atypical Multiple Myeloma Mimicking Ovarian Malignancy With Multiple Bone Metastases on 18F-FDG PET/CT.
case_report · Level V
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- Record sourced from PubMed, PMID 36607371.
- Also identified by DOI 10.1097/RLU.0000000000004487.
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Abstract
Subserosal cystic myoma with intense FDG uptake can resemble malignant cystic ovarian tumor and may lead to a false-positive diagnosis. A 49-year-old woman presented with chest pain for 4 months, and the initial chest CT showed multiple bone lesions. 18F-FDG PET/CT revealed not only multiple osteolytic lesions with FDG uptake but also a highly FDG-avid mass abutting the right side of the uterus. Ovarian malignancy with multiple bone metastases was considered initially. Subsequent biopsy confirmed multiple myeloma, and a subserosal uterine myoma was diagnosed by transvaginal sonography.
Medical subject headings
- Multiple Myeloma
- Uterine Neoplasms
- Leiomyoma
- Bone Neoplasms
- Ovarian Neoplasms
- Myoma