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My 62-year-old mother had an abnormal fibroid in the uterus which was removed via hysterectomy some 2 YEARS AGO. Later on biopsy, it was diagnosed as stage I, grade I endometrial adenocarcinoma with no evidence of vascular invasion seen. She underwent 28 days of radiation therapy and 2 sittings of brachytherapy. Some couple of months ago, she under MRI scan where they noted a paraaortic lymphadenopathy and doctor recommended to PET CT scan. PET CT scan of the whole body was done this week and the impressions: 1) No residue/recurrence in the pelvis. 2) Hypermetabolic metastatic paraaortic and aortocaval lymph nodes. 3) Hypermetabolic metastatic peritoneal deposits. No evidence of metabolically active disease elsewhere in the present scan. Please help me in interpreting the impression of the PET CT scan.

1 Doctor Answered
Dear mam, your mother is suffering from carcinoma of uterus which seems to have spread to abdominal lymph node and peritoneum. A biopsy may be carried out to confirm and if conclusive of metastases she needs to be treated with chemotherapy. It is not very common for grade 1, stage I endometroid carcinoma to be so aggressive, however we cannot ignore the current pet finding.
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