Research Article

Presurgical Identification of Uterine Smooth Muscle Malignancies through the Characteristic FDG Uptake Pattern on PET Scans

Table 2

Detailed histopathological and imaging findings of the study patients ().

Patient #Pathological diagnosisMetabolic tumor/necrosis ratioSUVmaxFDG uptake patternTumor diameter (cm)Mitotic count (per 10 HPF)

1High-grade LMS4.38811.1“Hollow ball” sign11.923
2High-grade LMS2.70311.4“Hollow ball” sign5.525
3High-grade LMS1.70711.4“Hollow ball” sign17.430
4High-grade LMSN/A11.4“Hollow ball” sign11.420
5High-grade LMSN/A11.8“Hollow ball” sign5.815
6Low-grade LMS5.5334.3“Hollow ball” sign8.85
7Low-grade LMS1.4213.7“Hollow ball” sign8.610
8STUMP2.0365.4“Hollow ball” sign13.75
9Ordinary leiomyoma1.0632.2Diffuse low14.0
10Ordinary leiomyoma1.0134.2Focal6.5
11Ordinary leiomyoma0.9644.0Heterogeneous8.8
12Ordinary leiomyoma0.9552.0Diffuse low16.0
13Ordinary leiomyoma0.8963.1Heterogeneous5.7
14Ordinary leiomyomaN/A6.0Focal10.2
15Ordinary leiomyomaN/A5.8Heterogeneous5.4
16Ordinary leiomyomaN/A3.9Focal5.0
17Ordinary leiomyomaN/A3.5Focal16.7
18Degenerated leiomyoma1.0382.5Diffuse low10.2
19Degenerated leiomyomaN/A3.5Heterogeneous11.6
20Cellular leiomyoma1.0692.5Diffuse low7.9
21Infarcted leiomyoma1.0349.4Diffuse high11.1

The images of seven patients (whose raw data were lost because of a >10-year storage time) were not available for reanalysis; measured on ultrasound or MRI; LMS, leiomyosarcoma; STUMP, smooth muscle tumor with uncertain malignant potential; N/A, not available; HPF, high-power field.