Teresa P Díaz-Montes1, Heather A Jacene, Richard L Wahl, Robert E Bristow. 1. The Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, The Johns Hopkins Medical Institutions, 600 North Wolfe Street, Phipps 281, Baltimore, MD 21287, USA. tdiazmo1@jhmi.edu
Abstract
BACKGROUND: Ovarian cancer recurrence presenting in an inguinal hernia sac is rare. Only 1 case of malignant ovarian cancer growing into an inguinal hernia sac has been reported in the English literature. Combined positron emission tomography (PET) and computed tomography (CT) may have a potential role in the early detection and anatomical localization of recurrent ovarian cancer. CASE REPORT: This is the first case of occult metastasis from ovarian cancer recurrence growing in a right inguinal hernia sac identified using combined FDG-PET/CT. CONCLUSION: Preoperative combined FDG-PET/CT imaging may have utility in the detection and anatomic localization of occult ovarian cancer recurrence, which may increase the likelihood of complete resection.
BACKGROUND:Ovarian cancer recurrence presenting in an inguinal hernia sac is rare. Only 1 case of malignant ovarian cancer growing into an inguinal hernia sac has been reported in the English literature. Combined positron emission tomography (PET) and computed tomography (CT) may have a potential role in the early detection and anatomical localization of recurrent ovarian cancer. CASE REPORT: This is the first case of occult metastasis from ovarian cancer recurrence growing in a right inguinal hernia sac identified using combined FDG-PET/CT. CONCLUSION: Preoperative combined FDG-PET/CT imaging may have utility in the detection and anatomic localization of occult ovarian cancer recurrence, which may increase the likelihood of complete resection.