Unusual Case of Postmenopausal Diffuse Endometriosis Mimicking Metastastic Ovarian Malignancy

Rajani Agarwal Sharma, Agarwal Sharma R, Elaine Lee, Elaine Yuen Phin Lee, Varut Vardhanabhuti, Vardhanabhuti V, Pek-Lan Khong, Khong PL, Pek‐Lan Khong, Siew-Fei Ngu, Siew‐Fei Ngu
Clinical nuclear medicine · 2015 · vol. 41(2) , pp. e120–e122 · doi:10.1097/rlu.0000000000001038 · PMID:26462045 · W2464403656
Case report OA: closed CC0 ⤵ 12 in-corpus citations
View on OpenAlex View on PubMed View at publisher
⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-08 ⓘ

This case report describes diffuse peritoneal endometriosis and ovarian endometriomas in a postmenopausal woman mimicking metastatic ovarian cancer on FDG PET/CT.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Endometriosis is a common gynecologic condition of the premenopausal years. However, postmenopausal endometriosis is rare (2.2%) and thought to be related to high level of circulating estrogen, especially in hormonal replacement therapy. We present a case of a 69-year-old postmenopausal woman, previously healthy and on no regular medication, with diffuse peritoneal endometriosis and bilateral ovarian endometrioma mimicking metastatic ovarian carcinoma on FDG PET/CT. Both ovarian endometrioma had low-grade activity, but more strikingly, there was diffuse FDG-avid peritoneal dissemination and gross ascites. Endometriosis should not be totally disregarded as a differential diagnosis even at postmenopausal status.

My notes (saved in your browser only)

Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Multimodal Imaging Multimodal Imaging Neoplasms, Glandular and Epithelial Ovarian Neoplasms Positron-Emission Tomography Positron-Emission Tomography Tomography, X-Ray Computed Tomography, X-Ray Computed Aged Aged Carcinoma, Ovarian Epithelial Carcinoma, Ovarian Epithelial Diagnosis, Differential Diagnosis, Differential Endometriosis Endometriosis Female Female Fluorodeoxyglucose F18

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (9)

Cited by (12)

Source provenance

europepmc
last seen: 2026-10-12T06:17:10.165071+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-10-08T21:16:31.290043+00:00
License: CC0 · commercial use OK