Metabolic imaging for guidance of curative treatment of isolated pelvic implantation metastasis after resection of spontaneously ruptured hepatocellular carcinoma: A case report

Figure 1 Contrast-enhanced computed tomography performed two years ago demonstrated multiple nodules at the right lobe of the liver. A: Non-contrast-enhanced computed tomography scan; B: Arterial phase; C: Portal phase; and D: Venous phase.

Figure 2 Whole body positron emission tomography. A: An isolated hypermetabolic focus is located behind the bladder (black arrow); B: Non-enhanced CT detecting a median density lesion in the pelvic cavity (white arrow); C: Fused imaging of PET/CT revealing a hypermetabolic lesion at the same position; D and E: PET/CT-guided biopsy confirmed HCC metastasis (black arrow).