From the Department of Radiology, University of Washington, Seattle, WA.
Clin Nucl Med. 2018 May;43(5):e154-e155. doi: 10.1097/RLU.0000000000002023.
Sixty six-year-old woman status post ileocecal resection for well-differentiated neuroendocrine tumor in the terminal ileum 7 years ago, who is on octreotide therapy for liver metastases. Ga DOTATATE PET/CT showed soft tissue masses with mildly increased radiotracer uptake in the bilateral subscapular/infrascapular regions. In retrospective image review, these soft tissue masses were first noted 7 years prior and have gradually increased in size over the years. Given the characteristic location and imaging findings, these masses are consistent with benign elastofibroma dorsi instead of metastasis.
一位 66 岁女性,7 年前因末端回肠分化良好的神经内分泌肿瘤行回盲部切除术,目前正在接受奥曲肽治疗肝转移。Ga DOTATATE PET/CT 显示双侧肩胛下/后肩胛区软组织肿块,放射性示踪剂摄取轻度增加。回顾性图像回顾显示,这些软组织肿块早在 7 年前就已被发现,并且近年来逐渐增大。鉴于其特征性位置和影像学表现,这些肿块符合良性弹力纤维瘤,而非转移瘤。