False-positive fluorine-18 fluorodeoxy-D-glucose positron emission tomography imaging caused by retained gauze in a woman with recurrent ovarian cancer: A case report

M. Y. Chen, K. K. Ng, S. Y. Ma, T. I. Wu, T. C. Chang, C. H. Lai

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

We report a case of a 47-year-old woman with a false-positive [ 18F]fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (PET) result caused by retained gauze during resection of liver metastasis for a Stage IV ovarian cancer at primary cytoreductive surgery. She achieved complete remission and remained free of progression for seven years. Owing to elevation of CA-125, computed tomography and PET studies were performed, and both showed two potentially resectable lesions. One was located ventral to the diaphragmatic surface of the left hepatic lobe and the other was around the gauze at the right hepatorenal fossa. During surgical intervention, the left supraheptic tumor was excised and the gauze with surrounding granulation was removed. However, the former proved to be recurrent ovarian cancer with the latter proven false-positive. This case demonstrates that PET results should be interpreted with caution in differentiating a benign inflammatory process from malignant abnormalities, especially in regions with a high probability of granulomatous lesions.

Original languageEnglish
Pages (from-to)451-453
Number of pages3
JournalEuropean Journal of Gynaecological Oncology
Volume26
Issue number4
Publication statusPublished - 2005
Externally publishedYes

Keywords

  • False positive
  • Gauze
  • Ovarian neoplasms
  • PET

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

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