Fig. 5.
A) Coronal MIP of an FDG PET scan of a 56 year old woman diagnosed with recurrent cervical cancer 8 months after completion of definitive chemoradiotherapy. The patient recurred 9 months after total exenteration, with negative surgical margins and died 16 months later. B, C) Transverse CT and fused PET/CT images, with the recurrence (arrow) involving the entire cervix and extending to the lower uterine segment and vagina. D, E) Sagittal CT and fused PET/CT images illustrating the recurrence without direct contact of the hypermetabolic tumor to bladder or rectum (arrow). Pathology confirmed invasion of the cervix, uterus, and vagina. The tumor had a high metabolic activity SUVmax 10.8, MTV 23.3 mL and TLG 134 g.