Postoperative abdominal aspergilloma mimicking cervical cancer recurrence and diagnostic imaging, including 18F‐fluorodeoxyglucose positron emission tomography, with false‐positive findings

We present the case of a 39‐year‐old woman with a subfascial abscess. The patient had undergone radical hysterectomy for stage Ib1 cervical cancer. Six months after the surgery, she was found to have an elevated concentration of the serum squamous cell carcinoma antigen. Thereafter, she underwent ma...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2009-08, Vol.35 (4), p.808-811
Main Authors: Kobayashi, Eiji, Iwamiya, Tadashi, Masaki, Hidetake, Yamagata, Ai, Isobe, Masanori, Miyake, Takahito, Shiki, Yasuhiko, Nakashima, Ryuichi, Yamasaki, Masato
Format: Article
Language:English
Subjects:
aspergilloma
cervical cancer
false positive
positron emission tomography
recurrence
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Summary:We present the case of a 39‐year‐old woman with a subfascial abscess. The patient had undergone radical hysterectomy for stage Ib1 cervical cancer. Six months after the surgery, she was found to have an elevated concentration of the serum squamous cell carcinoma antigen. Thereafter, she underwent magnetic resonance imaging and positron emission tomography–computed tomography. Magnetic resonance imaging revealed an irregular mass (diameter: 2 cm) in the abdominal wall. Increased 18F‐fluorodeoxyglucose uptake into the mass was observed on positron emission tomography. Therefore, we could not rule out the possibility of the peritoneal dissemination of cervical cancer, and we resected the mass. The mass was pathologically and microbiologically diagnosed as a subfascial aspergilloma. The lesion was located in the subfascial area where a drain was inserted at the time of the primary laparotomy.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2009.01019.x