Metastatic ovarian cancer:
18F-FDG PET/CT imaging
Fig. 1: Exemplary lymph node metastases
Enlarged lymph nodes with high FDG uptake iliac (left arrow, SUVmax 8,2) and pelvic (middle / right arrow, SUVmax 11). Ileostomy in the right lower abdomen.
Fig. 2: Peritoneal carcinosis in all four quadrants
Pertioneal tumor mass adjacent to liver and spleen with scalloping and high FDG uptake (SUVmax 9,8). Steatosis hepatis.
Fig. 3: Peritoneal carcinosis in all four quadrants
Mesenteric and pertioneal tumor mass in the lower quadrants of the abdomen with high FDG uptake (SUVmax 15). Atherosclerosis.
Fig. 4: Peritoneal carcinosis in all four quadrants
Peritoneal tumor mass in all four quadrants of the abdomen with high FDG uptake (SUVmax 15). Right-sided leural effusion.
Female patient with papillary serous ovarian cancer (PSOC) (pT3c pN1 G3, FIGO IIIC) s/p tumor resection, hysterectomy with double adnexectomy, peritoneal resection, lymph node dissection (pelvic, paraaortocaval, proctosigmoidectomy).
Recent PET/CT scan was performed during chemotherapy (PLD), revealing therapy progress with hematogenous dissemination (pulmonary, hepatic), peritoneal carcinosis in all four quadrants and lymphatic dissemination (cardiophrenic, mediastinal, pelvic, iliac, inguinal), respectively.