Atypical Presentation of Splenic Tissue Mimicking Neuroendocrine Tumor Relapse

被引:0
作者
Guarneri, Andrea [1 ]
Rufini, Vittoria [1 ,2 ,3 ]
Schinzari, Giovanni [3 ,4 ,5 ]
Rindi, Guido [3 ,6 ,7 ]
Leccisotti, Lucia [1 ,2 ]
机构
[1] Fdn Policlin Univ A Gemelli, Unit Nucl Med, Rome, Italy
[2] Univ Cattolica Sacro Cuore, Univ Dept Radiol Sci & Hematol, Sect Nucl Med, Milan, Italy
[3] ENETS Ctr Excellence Diag & Cure Neuroendocrine Tu, Berlin, Germany
[4] Fdn Policlin Univ A Gemelli IRCCS, Med Oncol Unit, Rome, Italy
[5] Univ Cattolica Sacro Cuore, Med Oncol, Milan, Italy
[6] Fdn Policlin Univ A Gemelli IRCCS, Dept Woman & Child Hlth Sci & Publ Hlth, Unit Pathol, Rome, Italy
[7] Univ Cattolica Sacro Cuore, Dept Life Sci, Sect Pathol, Rome, Italy
关键词
Ga-68-DOTATOC PET/CT; neuroendocrine tumor; splenosis; ACCESSORY SPLEEN; PET/CT;
D O I
10.1097/RLU.0000000000005349
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A 61-year-old man underwent splenopancreasectomy for a 3-cm neuroendocrine tumor of the body of the pancreas (G2, pT1 pN0, Ki67 3%). Five months after surgery Ga-68-DOTATOC PET/CT showed increased radiotracer uptake in a solid tissue of the splenic fossa, possibly referring to a splenosis nodule. After 19 months, a further Ga-68-DOTATOC PET/CT showed a significant functional and dimensional increase of the previously detected tissue and the appearance of a new finding in the left lateral abdominal wall. In the suspicion of neuroendocrine tumor relapse, the patient underwent surgical excision of the documented lesions. Histology showed splenosis in both nodules.
引用
收藏
页码:e509 / e510
页数:2
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