Dergiler / Journal of the Turkish-German Gynecological Association / 2008 / Cilt: 9 - Sayı: 3
The Importance of using PET/CT investigation in case of recurrence in an ovarian cancer case with lymph node metastasis without any lesions that can be scanned via conventional methods
- Sayfa
- 172–175
- DOI
- —
Özet
Over kanserlerinde lenf nodu tutulumu sık olmakla birlikte, aksiller ve supraklavikular lenf nodu tutulumu nadirdir. Takibi sırasında Ca-125 seviyesinde artış tespit edildiği halde konvansiyonel metodlarla herhangi bir lezyon tespit edilemeyen 55 yaşındaki over kanserli hastada rekürrens pozitron emisyon tomografisi ve bilgisayarlı tomografinin birlikte kullanımı ile tespit edildi. Ender tutulum gösteren suprklavikular ve aksiller lenf nodu ve intraabdominal lenf nodu tutulumu ile rekürrens saptanan hasta literatür ışığında tartışıldı. Bu olguda konvansiyonel metodlarla herhangi bir tümör saptanmayan durumlarda pozitron emisyon tomografisi ve bilgisayarlı tomografinin birlikte kullanımının öneminin altı çizildi.
Abstract
Although lymph node involvement is common in ovarian cancer, axillary and supraclavicular lymph node involvement is quite rare. In the 55-year-old patient without any lesions that are scannable via conventional methods, in which increase of CA-125 level was detected during follow-up, recurrence was detected via combined positron emission tomography and computed tomography investigation. This case recurring with intraabdominal and supraclavicular and axillary lymph node (which are rare regions of involvement) metastasis has been discussed with literature information. In this case, the importance of combined positron emission tomography and computed tomography investigation in patients with suspected recurrence in whom no tumor detectable via conventional methods has been identified was highlighted.