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一例表现为肠道神经内分泌肿瘤的镓- DOTATOC-PET/CT阳性胰腺异位症病例。

A case of positive Ga-DOTATOC-PET/CT pancreatic heterotopia mimicking an intestinal neuroendocrine tumor.

作者信息

Zilli Alessandra, Fanetti Ilaria, Conte Dario, Massironi Sara

机构信息

Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy; Postgraduate School of Gastroenterology, Università degli Studi di Milano, Milan, Italy.

Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico, Milan, Italy.

出版信息

Clin Imaging. 2018 May-Jun;49:156-158. doi: 10.1016/j.clinimag.2018.03.001. Epub 2018 Mar 6.

Abstract

Gallium-68 DOTA-peptide positron emission tomography/computed tomography (Ga-PET/CT) has emerged as a promising tool for the diagnosis and staging of gastro-entero-pancreatic neoplasms, thanks to its high sensitivity and specificity. Heterotopic pancreas, which is relatively rare, has never been reported as a possible cause of false positives of Ga-PET/CT. We report on the first case of a heterotopic pancreas showing pathological uptake at Ga-PET/CT, thus mimicking an intestinal neuroendocrine tumor. The present case suggests that heterotopic pancreas should be included among the possible causes of false positives at Ga PET.

摘要

由于其高敏感性和特异性,镓-68 DOTA肽正电子发射断层扫描/计算机断层扫描(Ga-PET/CT)已成为诊断和分期胃肠胰肿瘤的一种有前景的工具。异位胰腺相对罕见,从未被报道为Ga-PET/CT假阳性的可能原因。我们报告了首例异位胰腺在Ga-PET/CT上显示病理性摄取,从而酷似肠道神经内分泌肿瘤的病例。本病例提示,异位胰腺应被纳入Ga-PET假阳性的可能原因之中。

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