Intranodular Thyroid Metastasis of a Large Cell Neuroendocrine Carcinoma of the Endometrium.

Clin Nucl Med

From the Institut Curie, Department of Nuclear Medicine, Saint-Cloud.

Published: January 2025

A 64-year-old woman underwent initial 18F-FDG PET/CT staging for a suspicious endometrial mass, which showed high uptake in the endometrial mass and a focal uptake in a known left thyroid nodule. Histology revealed a high-grade large cell neuroendocrine carcinoma of the endometrium with FIGO (International Federation of Gynecology and Obstetrics) stage Ib. Further explorations revealed a synchronous thyroid metastasis. Patient then received adjuvant immunochemotherapy. This case showed a potential pitfall in the initial assessment of this rare and aggressive malignancy on which the therapeutic approach greatly depends.

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http://dx.doi.org/10.1097/RLU.0000000000005665DOI Listing

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