18F-FDG and 68Ga-DOTATOC PET/CT Findings in a Case of Abdominal Leiomyosarcoma.


Journal

Clinical nuclear medicine
ISSN: 1536-0229
Titre abrégé: Clin Nucl Med
Pays: United States
ID NLM: 7611109

Informations de publication

Date de publication:
01 May 2021
Historique:
pubmed: 17 12 2020
medline: 30 4 2021
entrez: 16 12 2020
Statut: ppublish

Résumé

We report the case of a 58-year-old man with mesenteric nodule at CT performed for abdominal pain. In the suspicion of neoplastic disease, he underwent 18F-FDG PET/CT that did not show abnormal uptake. The nodule was monitored alternating CT and MRI. Two years after the first detection, MRI revealed an increase in size, and 18F-FDG PET/CT was repeated for metabolic evaluation, showing increased metabolic activity. In suspicion of neuroendocrine tumor, for anatomical site, slow growth, and clinical symptoms, 68Ga-DOTATOC PET/CT was performed showing focal uptake, indicating high expression of somatostatin receptors. The final pathology report was consistent with high-grade leiomyosarcoma.

Identifiants

pubmed: 33323743
pii: 00003072-202105000-00032
doi: 10.1097/RLU.0000000000003474
doi:

Substances chimiques

Organometallic Compounds 0
Fluorodeoxyglucose F18 0Z5B2CJX4D
gallium Ga 68 dotatate 9L17Y0H71P

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e270-e272

Informations de copyright

Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest and sources of funding: none declared.

Références

Volante M, Brizzi MP, Faggiano A, et al. Somatostatin receptor type 2A immunohistochemistry in neuroendocrine tumors: a proposal of scoring system correlated with somatostatin receptor scintigraphy. Mod Pathol . 2007;20:1172–1182.
Reubi JC, Waser B, Laissue JA, et al. Somatostatin and vasoactive intestinal peptide receptors in human mesenchymal tumors: in vitro identification. Cancer Res . 1996;56:1922–1931.
Boulagnon-Rombi C, Fleury C, Fichel C, et al. Immunohistochemical approach to the differential diagnosis of meningiomas and their mimics. J Neuropathol Exp Neurol . 2017;76:289–298.
Park JY, Lee JW, Lee HJ, et al. Prognostic significance of preoperative 18 F-FDG PET/CT in uterine leiomyosarcoma. J Gynecol Oncol . 2017;28:e28.
Lee J-W, Park J-Y, Lee HJ, et al. Preoperative [ 18 F]FDG PET/CT tumour heterogeneity index in patients with uterine leiomyosarcoma: a multicentre retrospective study. Eur J Nucl Med Mol Imaging . 2018;45:1309–1316.
Calcagni ML, Mattoli MV, Blasi MA, et al. A prospective analysis of 18 F-FDG PET/CT in patients with uveal melanoma: comparison between metabolic rate of glucose (MRglu) and standardized uptake value (SUV) and correlations with histopathological features. Eur J Nucl Med Mol Imaging . 2013;40:1682–1691.
Florio T, Montella L, Corsaro A, et al. In vitro and in vivo expression of somatostatin receptors in intermediate and malignant soft tissue tumors. Anticancer Res . 2003;23:2465–2471.
Tao LL, Huang YH, Chen YL, et al. SSTR2a is a useful diagnostic marker for follicular dendritic cells and their related tumors. Am J Surg Pathol . 2019;43:374–381.
Palmieri G, Montella L, Aiello C, et al. Somatostatin analogues, a series of tissue transglutaminase inducers, as a new tool for therapy of mesenchimal tumors of the gastrointestinal tract. Amino Acids . 2007;32:395–400.
Long M, Shao F, Lan X. Mediastinal epithelioid hemangioendothelioma revealed on 68 Ga-DOTATATE PET/CT. Clin Nucl Med . 2020;45:414–416.

Auteurs

Margherita Lorusso (M)

From the Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC di Medicina Nucleare.

Giuseppe Angelico (G)

Unità di Gineco-Patologia e Patologia Mammaria, Dipartimento Scienze Della Salute Della Donna, Del Bambino e di Sanità Pubblica.

Michela Quirino (M)

Oncologia Medica, Fondazione Policlinico Universitario A. Gemelli IRCCS.

Valentina Scolozzi (V)

From the Dipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, UOC di Medicina Nucleare.

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Classifications MeSH