An incidentally found inflamed uterine myoma causing low abdominal pain, using Tc-99m-tektrotyd single photon emission computed tomography-CT hybrid imaging

Korean J Radiol. 2013 Sep-Oct;14(5):841-4. doi: 10.3348/kjr.2013.14.5.841. Epub 2013 Aug 30.

Abstract

We report the case of a 50-year-old woman presented with a history of right hemicolectomy due to an ileocecal neuroendocrine tumor and left breast metastasis. Owing to a slightly elevated chromogranin A-level and lower abdominal pain, single photon emission computed tomography-computer tomography (SPECT-CT) was performed. There were no signs of recurrence on the SPECT-CT scan, but the patient was incidentally found to have an inflamed intramural myoma. We believe that the slightly elevated chromogranin A-level was caused by the hypertension that the patient presented. In the clinical context, this is a report of an inflamed uterine myoma seen as a false positive result detected by TC-99m-Tc-EDDA/HYNIC-Tyr3-Octreotide (Tektrotyd) SPECT-CT hybrid imaging.

Keywords: SPECT-CT; Tektrotyd; Uterine myoma.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Pain / diagnostic imaging*
  • Abdominal Pain / etiology
  • Edetic Acid / analogs & derivatives*
  • Female
  • Humans
  • Incidental Findings*
  • Leiomyoma / complications
  • Leiomyoma / diagnostic imaging*
  • Middle Aged
  • Organotechnetium Compounds*
  • Radiopharmaceuticals
  • Tomography, Emission-Computed, Single-Photon / methods*
  • Uterine Neoplasms / complications
  • Uterine Neoplasms / diagnostic imaging*

Substances

  • Organotechnetium Compounds
  • Radiopharmaceuticals
  • technetium Tc 99m ethylenediamine-N,N-diacetic acid
  • Edetic Acid