A Giant Duodenal Leiomyoma Showing Increased Uptake on 18F-Fluorodeoxyglucose Positron Emission Tomography
Background. Although 18F-fluorodeoxyglucose positron emission tomography (FDG-PET/CT) is now widely used in their differential diagnosis, it is sometimes difficult to distinguish between benign and malignant diseases. Case Presentation. A 44-year-old woman was found to have abnormalities on health s...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/7827163 |
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| author | Keisuke Nonoyama Hidehiko Kitagami Akira Yasuda Shiro Fujihata Minoru Yamamoto Yasunobu Shimizu Moritsugu Tanaka |
| author_facet | Keisuke Nonoyama Hidehiko Kitagami Akira Yasuda Shiro Fujihata Minoru Yamamoto Yasunobu Shimizu Moritsugu Tanaka |
| author_sort | Keisuke Nonoyama |
| collection | DOAJ |
| description | Background. Although 18F-fluorodeoxyglucose positron emission tomography (FDG-PET/CT) is now widely used in their differential diagnosis, it is sometimes difficult to distinguish between benign and malignant diseases. Case Presentation. A 44-year-old woman was found to have abnormalities on health screening. Magnetic resonance imaging for detailed examination showed an intra-abdominal tumor measuring 12 cm in the major axis near the cranial end of the uterus. Upper gastrointestinal tract endoscopy showed a tumor with an ulcer in the third part of the duodenum, involving half the circumference. Heterogeneous uptake was observed within the tumor on FDG-PET/CT. Based on these findings, the patient underwent surgery for suspected primary malignant lymphoma of the duodenum or gastrointestinal stromal tumor. Laparotomy revealed a 12 cm tumor in the third part of the duodenum. Partial duodenectomy and end-to-end duodenojejunostomy were performed. Pathological findings showed a solid tumor growing from the muscle layer of the duodenum to outside the serous membrane; based on immunostaining, it was diagnosed as a leiomyoma. Conclusions. Duodenal leiomyomas are originally benign; to date, there have been no reports of uptake in duodenal leiomyomas on FDG-PET/CT; therefore, our case is rare. Leiomyomas should be considered in the differential diagnosis of duodenal neoplastic diseases. |
| format | Article |
| id | doaj-art-d906e0b79a7c489bb8e7e78765c4e930 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-d906e0b79a7c489bb8e7e78765c4e9302025-02-03T01:02:42ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/78271637827163A Giant Duodenal Leiomyoma Showing Increased Uptake on 18F-Fluorodeoxyglucose Positron Emission TomographyKeisuke Nonoyama0Hidehiko Kitagami1Akira Yasuda2Shiro Fujihata3Minoru Yamamoto4Yasunobu Shimizu5Moritsugu Tanaka6Department of Gastroenterological Surgery, Kariya Toyota General Hospital, Kariya, JapanDepartment of Gastroenterological Surgery, Kariya Toyota General Hospital, Kariya, JapanDepartment of Gastroenterological Surgery, Kariya Toyota General Hospital, Kariya, JapanDepartment of Gastroenterological Surgery, Kariya Toyota General Hospital, Kariya, JapanDepartment of Gastroenterological Surgery, Kariya Toyota General Hospital, Kariya, JapanDepartment of Gastroenterological Surgery, Kariya Toyota General Hospital, Kariya, JapanDepartment of Gastroenterological Surgery, Kariya Toyota General Hospital, Kariya, JapanBackground. Although 18F-fluorodeoxyglucose positron emission tomography (FDG-PET/CT) is now widely used in their differential diagnosis, it is sometimes difficult to distinguish between benign and malignant diseases. Case Presentation. A 44-year-old woman was found to have abnormalities on health screening. Magnetic resonance imaging for detailed examination showed an intra-abdominal tumor measuring 12 cm in the major axis near the cranial end of the uterus. Upper gastrointestinal tract endoscopy showed a tumor with an ulcer in the third part of the duodenum, involving half the circumference. Heterogeneous uptake was observed within the tumor on FDG-PET/CT. Based on these findings, the patient underwent surgery for suspected primary malignant lymphoma of the duodenum or gastrointestinal stromal tumor. Laparotomy revealed a 12 cm tumor in the third part of the duodenum. Partial duodenectomy and end-to-end duodenojejunostomy were performed. Pathological findings showed a solid tumor growing from the muscle layer of the duodenum to outside the serous membrane; based on immunostaining, it was diagnosed as a leiomyoma. Conclusions. Duodenal leiomyomas are originally benign; to date, there have been no reports of uptake in duodenal leiomyomas on FDG-PET/CT; therefore, our case is rare. Leiomyomas should be considered in the differential diagnosis of duodenal neoplastic diseases.http://dx.doi.org/10.1155/2018/7827163 |
| spellingShingle | Keisuke Nonoyama Hidehiko Kitagami Akira Yasuda Shiro Fujihata Minoru Yamamoto Yasunobu Shimizu Moritsugu Tanaka A Giant Duodenal Leiomyoma Showing Increased Uptake on 18F-Fluorodeoxyglucose Positron Emission Tomography Case Reports in Surgery |
| title | A Giant Duodenal Leiomyoma Showing Increased Uptake on 18F-Fluorodeoxyglucose Positron Emission Tomography |
| title_full | A Giant Duodenal Leiomyoma Showing Increased Uptake on 18F-Fluorodeoxyglucose Positron Emission Tomography |
| title_fullStr | A Giant Duodenal Leiomyoma Showing Increased Uptake on 18F-Fluorodeoxyglucose Positron Emission Tomography |
| title_full_unstemmed | A Giant Duodenal Leiomyoma Showing Increased Uptake on 18F-Fluorodeoxyglucose Positron Emission Tomography |
| title_short | A Giant Duodenal Leiomyoma Showing Increased Uptake on 18F-Fluorodeoxyglucose Positron Emission Tomography |
| title_sort | giant duodenal leiomyoma showing increased uptake on 18f fluorodeoxyglucose positron emission tomography |
| url | http://dx.doi.org/10.1155/2018/7827163 |
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