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Updated: May 5, 2026

A Coregistered Ultrasound and Photoacoustic Imaging Protocol for the Transvaginal Imaging of Ovarian Lesions
Published on: March 3, 2023
(131)I SPECT/CT demonstrated ovarian endometrioma
Tzyy-Ling Chuang1, Chun-Shuo Hsu, Yuh-Feng Wang
1From the Departments of *Nuclear Medicine, †Obstetrics and Gynecology, Buddhist Dalin Tzu Chi Hospital, Chiayi; and ‡School of Medicine, Tzu Chi University, Hualien, Taiwan.
Abstract:
A 44-year-old woman had a history of papillary thyroid carcinoma and underwent total thyroidectomy and I ablation therapy. During the follow-up, 2-mCi I cancer workup showed an unusual shape of uptake in the pelvic region. Hybrid SPECT/CT revealed uptake posterior to the uterus, where sonography showed an 85.4-mm right ovarian endometrioma just corresponding to the location. Laparoscopic salpingo-oophorectomy showed right ovarian endometrioma (7 cm) and left ovarian cyst (4 cm). Pathologic findings showed bilateral endometriosis. After that survey, follow-up I cancer workup showed left supraclavicular, pretracheal, and right hilar metastatic lymphadenopathy with pulmonary metastasis, but no pelvic uptake was noted.

