Squamous Cell Vulvar Surgically Treated Carcinoma: Nodal Recurrence of Disease

Fig. 33.1

PET-CT scan shows multiple, heterogeneously hypodense, enlarged lymph nodes with a high carbohydrate metabolism that can be seen also in the coronal reconstructions

Fig. 33.2

On CT-PET it is evident an alteration of the pubic bones at the symphysis bilaterally with cortical interruption. Not observed contextual newly formed tissue replacement. The increase in glucose metabolism does not suggest a neoplastic condition but is compatible with bone remodeling determined by a post-actinic fracture

Fig. 33.3

The coronal CT reconstructions show typical artifacts caused by the presence of metallic prosthesis to the right femur and left hip. The low carbohydrate periprosthetic consumption is nonspecific and is not suggestive of infection

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