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Diffuse peritoneal carcinomatosis and Sister Mary Joseph nodule in ovarian carcinoma — exquisite demonstration of the peritoneal reflections on [18F]FDG PET/CT
, 1234, 12, 125
Affiliations- Cobalt Medical Charity, Cheltenham, United Kingdom
- Gloucestershire Hospitals NHS Foundation Trust, Gloucester, United Kingdom
- University Hospitals Bristol and Weston NHS Foundation Trust
- Clinical Oncology and Nuclear Medicine Department, Cairo University, Cairo, Egypt
- Cranfield Forensic Institute, Cranfield University, Wiltshire, United Kingdom
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Abstract
A case involving a 64-year-old woman with ovarian carcinoma on maintenance therapy who underwent 18-fluorodeoxyglucose positron emission tomography with computed tomography ([18F]FDG PET/CT) restaging due to rapid cancer antigen 125 (Ca-125) rise. This revealed recurrent disease within the pelvis and large volume, peritoneal carcinomatosis including an avid umbilical deposit, consistent with the rarely seen Sister Mary Joseph nodule (SMJN). This case elegantly demonstrates not only the anatomy of the peritoneal surfaces through avid disease deposition but also highlights the sensitive depiction of disease burden in peritoneal carcinomatosis, including the detection of rare manifestations such as SMJN.
Abstract
A case involving a 64-year-old woman with ovarian carcinoma on maintenance therapy who underwent 18-fluorodeoxyglucose positron emission tomography with computed tomography ([18F]FDG PET/CT) restaging due to rapid cancer antigen 125 (Ca-125) rise. This revealed recurrent disease within the pelvis and large volume, peritoneal carcinomatosis including an avid umbilical deposit, consistent with the rarely seen Sister Mary Joseph nodule (SMJN). This case elegantly demonstrates not only the anatomy of the peritoneal surfaces through avid disease deposition but also highlights the sensitive depiction of disease burden in peritoneal carcinomatosis, including the detection of rare manifestations such as SMJN.
Keywords
Sister Mary Joseph nodule; peritoneal carcinomatosis; FDG PET/CT
About this articleTitle
Diffuse peritoneal carcinomatosis and Sister Mary Joseph nodule in ovarian carcinoma — exquisite demonstration of the peritoneal reflections on [18F]FDG PET/CT
Journal
Issue
Vol 26 (2023): Continuous Publishing
Article type
Clinical vignette
Pages
153-155
Published online
2023-11-22
Page views
396
Article views/downloads
220
DOI
Pubmed
Bibliographic record
Nucl. Med. Rev 2023;26:153-155.
Keywords
Sister Mary Joseph nodule
peritoneal carcinomatosis
FDG PET/CT
Authors
Elizabeth Robinson
Ayah Nawwar
Julie Searle
Iain Lyburn
