Fig. 8

Local recurrence of LGSC with peritoneal and lymph node metastases in a 74-year-old female. Axial unenhanced CT images display a large, heterogeneous, mixed tumour in the vaginal dome (arrow) (a) with bilateral inguinal lymph node metastases (arrowheads) (b), both with calcified psammoma bodies. Axial enhanced CT image reveals a peritoneal metastasis in the left hypochondrium peritoneum (arrow) (c). FDG-PET/CT images show a hypermetabolic pelvic lesion (d), bilateral inguinal lymphadenopathies (e) and a left upper hypochondrium peritoneal lesion (f), suggestive of malignancy