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Review ArticleTeaching Case Studies

Favorable Response of Metastatic Merkel Cell Carcinoma to Targeted 177Lu-DOTATATE Therapy: Will PRRT Evolve to Become an Important Approach in Receptor-Positive Cases?

Sandip Basu and Rohit Ranade
Journal of Nuclear Medicine Technology June 2016, 44 (2) 85-87; DOI: https://doi.org/10.2967/jnmt.115.163527
Sandip Basu
Radiation Medicine Centre, Bhabha Atomic Research Centre, Tata Memorial Hospital Annexe, Mumbai, India
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Rohit Ranade
Radiation Medicine Centre, Bhabha Atomic Research Centre, Tata Memorial Hospital Annexe, Mumbai, India
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    FIGURE 1.

    Maximum-intensity projection (left) and transaxial (right) slices from whole-body 68Ga-DOTATATE PET/CT (A) and 18F-FDG PET/CT (B) studies demonstrating nearly complete resolution of two lesions in segment VIII and reduced tracer avidity for lesions in segments IVA, VI, and V.

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    TABLE 1

    Kidney, Blood, and Liver Parameters at Baseline and 3 Months After First Cycle of PRRT

    KidneyBloodLiver
    TimeUrea (mg/dL)Creatinine (mg/dL)Hb (gm%)TLC (/mm3)Platelets (/mm3)SGOT (U/L)SGPT (U/L)ALP (U/L)Bili (mg/dL)
    Baseline12.160.914.68,500261,0001810760.6
    After 1 cycle14.20.513.17,0002,300,0001610740.54
    Reference value13−450.5–1.513−154,000–11,000150,000–450,00015–3730–6550–1360.3–1.2
    • Hb = hemoglobin; TLC = total leukocyte count; SGOT = serum glutamic oxaloacetic transaminase; SGPT = serum glutamic pyruvic transaminase; ALP = alkaline phosphatase; Bili = total bilirubin.

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    TABLE 2

    Kidney Parameters and Serum Chromogranin A at Baseline and 3 Months After First Cycle of PRRT

    TimeGFR (mL/min)ERPF (mL/min)Serum chromogranin A (ng/mL)
    Baseline111.03544.4684.29
    After 1 cycle105.63576.381.03
    Reference value80−120450–600<98
    • GFR = glomerular filtration rate; ERPF = effective renal plasma flow.

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Journal of Nuclear Medicine Technology: 44 (2)
Journal of Nuclear Medicine Technology
Vol. 44, Issue 2
June 1, 2016
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Favorable Response of Metastatic Merkel Cell Carcinoma to Targeted 177Lu-DOTATATE Therapy: Will PRRT Evolve to Become an Important Approach in Receptor-Positive Cases?
Sandip Basu, Rohit Ranade
Journal of Nuclear Medicine Technology Jun 2016, 44 (2) 85-87; DOI: 10.2967/jnmt.115.163527

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Favorable Response of Metastatic Merkel Cell Carcinoma to Targeted 177Lu-DOTATATE Therapy: Will PRRT Evolve to Become an Important Approach in Receptor-Positive Cases?
Sandip Basu, Rohit Ranade
Journal of Nuclear Medicine Technology Jun 2016, 44 (2) 85-87; DOI: 10.2967/jnmt.115.163527
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Keywords

  • Merkel cell carcinoma
  • 177Lu-DOTATATE
  • Peptide Receptor Radionuclide Therapy
  • PRRT
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