ArticleIn vivo (Athens, Greece)
Anthracotic Right Supraclavicular Lymph Node Mimicking Metastasis on FDG-PET/CT in Endometrial Carcinosarcoma: A Case Report.
Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND/
aim[ CASE REPORT: An 80-year-old woman with suspected endometrial malignancy underwent FDG-PET/CT, which demonstrated FDG uptake in the uterus and right supraclavicular, mediastinal, and hilar lymph nodes. Ultrasound-guided core needle biopsy of the right supraclavicular lymph node revealed extensive anthracotic pigment deposition without evidence of malignancy. The final diagnosis after surgery was endometrial carcinosarcoma, FIGO stage IIC.
conclusionRight supraclavicular nodal anthracosis may cause false-positive FDG-PET/CT findings, potentially related to lymphatic migration of carbon-laden macrophages via rare variant thoracic duct anatomy. Histologic confirmation is essential to avoid misdiagnosis and inappropriate disease upstaging.
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