RT Journal Article
SR Electronic
T1 Triple Tracer Positivity in Metastatic Lymph Nodes from Well-Differentiated Neuroendocrine Tumor in MEN-1 Syndrome
JF Journal of Nuclear Medicine Technology
JO J. Nucl. Med. Technol.
FD Society of Nuclear Medicine
SP 287
OP 289
DO 10.2967/jnmt.119.237339
VO 48
IS 3
A1 Anwin Joseph Kavanal
A1 Sanjay K. Bhadada
A1 Ashwani Sood
A1 Gurjeet Kaur
A1 Amber Parwaiz
A1 Ajay Gulati
A1 Divya Dahiya
A1 Bhagwant Rai Mittal
YR 2020
UL http://tech.snmjournals.org/content/48/3/287.abstract
AB Patients with multiple endocrine neoplasia type 1 usually have a combination of endocrine disorders due to lesions in the pancreas, parathyroid gland, and pituitary gland. Functional imaging using different tracers in addition to conventional imaging are applied in localizing the primary sites, determining the disease extent, and characterizing the lesions. We present a diagnosed case of multiple endocrine neoplasia type 1 with interesting incidental imaging findings showing 99mTc-sestamibi and 18F-fluorocholine uptake in addition to 68Ga-DOTANOC uptake in metastatic mediastinal and cervical lymph nodes arising from gastroenteropancreatic neuroendocrine tumor. This case shows the possibility of imaging the neuroendocrine tumors with 3 different tracers, namely 68Ga-DOTANOC, 99mTc-sestamibi, and 18F-fluorocholine.