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CC BY-NC-ND 4.0 · World J Nucl Med 2021; 20(03): 322-323
DOI: 10.4103/wjnm.wjnm_8_21
Interesting Cases

18F-fluorodeoxyglucose positron emission tomography-computed tomography imaging of leiomyomatosis peritonealis disseminata

Alex Cheen Hoe Khoo
Departments of Nuclear Medicine and Surgery, Penang Adventist Hospital, Penang, Malaysia
,
Shyang Yee Lim
1   Departments of Surgery, Penang Adventist Hospital, Penang, Malaysia
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Abstract

Leiomyomatosis peritonealis disseminata (LPD) is a rare benign condition characterized by multiple smooth muscle implants in the peritoneal cavity. The clinical presentation is usually nonspecific abdominal discomfort and nontender abdominal mass. Preoperative imaging usually points to suggests malignancy due to its unusual location, but the diagnosis can only be confirmed by histopathological examination. We share 18F-Fluorodeoxyglucose positron emission tomography-computed tomography images of a 43-year-old woman diagnosed with LPD and briefly discuss the clinical aspects of this disease.

Keywords

18F-fluorodeoxyglucose positron emission tomography-computed tomography - fibroid - leiomyomatosis peritonealis disseminate - morcellation - peritoneum - smooth muscle

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.


Financial support and sponsorship

Nil.




Publication History

Received: 20 January 2021

Accepted: 24 February 2021

Article published online:
24 March 2022

© 2021. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Thian YL, Tan KH, Kwek JW, Wang J, Chern B, Yam KL. Leiomyomatosis peritonealis disseminata and subcutaneous myoma – A rare complication of laparoscopic myomectomy. Abdom Imaging 2009;34:235-REF.
  • 2 Xu S, Qian J. Leiomyomatosis Peritonealis Disseminata with Sarcomatous Transformation: A Rare Case Report and Literature Review. Case Rep Obstet Gynecol. 2019 Dec 5;2019
  • 3 El-Agwany AS, Meleis MH. Disseminated peritoneal leiomyomatosis and metastatic GIST: Differential diagnosis dilemma regarding multiple nodular serosal lesions and management. Indian J Gynecol Oncol 2018;16:17.
  • 4 Kitajima K, Murakami K, Yamasaki E, Kaji Y, Sugimura K. Standardized uptake values of uterine leiomyoma with 18F-FDG PET/CT: Variation with age, size, degeneration, and contrast enhancement on MRI. Ann Nucl Med 2008;22:505-12.
  • 5 Nishizawa S, Inubushi M, Kido A, Miyagawa M, Inoue T, Shinohara K, et al. Incidence and characteristics of uterine leiomyomas with FDG uptake. Ann Nucl Med 2008;22:803-10.
  • 6 Soni S, Pareek P, Narayan S. Disseminated peritoneal leiomyomatosis: An unusual presentation of intra-abdominal lesion mimicking disseminated malignancy. Med Pharm Rep 2020;93:113-6.
  • 7 Bekkers RL, Willemsen WN, Schijf CP, Massuger LF, Bulten J, Merkus JM. Leiomyomatosis peritonealis disseminata: Does malignant transformation occur? A literature review. Gynecol Oncol 1999;75:158-63.
  • 8 Punt SE, Eary JF, O'Sullivan J, Conrad EU. Fluorodeoxyglucose positron emission tomography in leiomyosarcoma: imaging characteristics. Nucl Med Commun 2009;30:546-9.
  • 9 Kitajima K, Murakami K, Kaji Y, Sugimura K. Spectrum of FDG PET/CT findings of uterine tumors. AJR Am J Roentgenol 2010;195:737-43.