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Combined FDG-positron emission tomography and computed tomography for the detection of ovarian cancer recurrence in an inguinal hernia sac.

Díaz-Montes TP, Jacene HA, Wahl RL, Bristow RE

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

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.

Published 22 August 2005 in Gynecol Oncol, 98(3): 510-2.
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