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18F-FDG Uptake in a Mesonephric Carcinoma
Thien Vinh Luong1, Jacob Christian Lindegaard2, Frede Donskov2
1From the Departments of Nuclear Medicine and PET Centre.
Abstract:
We present the case of a 39-year-old woman with vaginal bleeding and abdominal pain. An F-FDG PET/CT showed high F-FDG uptake in a tumor in the pouch of Douglas, in 3 lymph nodes in the pelvis, and in the left tuber ischiadicum. Biopsies revealed a mesonephric carcinoma with metastases. Six series of empiric chemotherapy with carboplatin, paclitaxel, and bevacizumab were not sufficient to treat the cancer, and checkpoint immunotherapy with nivolumab and ipilimumab was initialized.
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