Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   November 2016 , Volume 19 , Number 11; Page(s) 816 To 819.
 
Paper: 

Intra-pancreatic Accessory Spleen Mimicking Pancreatic Neuroendocrine Tumor on 68-Ga-Dotatate PET/CT

 
DOI: 

0161911/AIM.0013

 
Author(s):  BOSTANCI ERDAL BIROL*, oter volkan, Okten Sarper, Kucuk Nuriye Ozlem, SOYDAL CIGDEM, Turhan Nesrin, AKOGLU MUSA
 
* Department of Gastroenterological Surgery, Turkiye Yuksek Ihtisas Teaching and Research Hospital, Ataturk Boulevard, kizilay street, No 4 Sihhiye, Ankara, Turkey, Postal Code: 06230
 
Abstract: 
Neuroendocrine tumors (NETs) are rare tumors, but the incidence is increasing with new diagnostics. A 37-year-old man was admitted to our hospital for an incidental 17-mm nodule in the tail of the pancreas. PET/CT shows indeterminate mass in the pancreatic tail with enhanced uptake of 68-Ga-dotatate. NET was suspected and laparoscopic distal pancreatectomy was performed. Pathologic examination 􀁕 􀁈 􀁙 􀁈 􀁄 􀁏 􀁈 􀁇 􀀃 􀁄 􀁑 􀀃 􀁄 􀁆 􀁆 􀁈 􀁖 􀁖 􀁒 􀁕 􀁜 􀀃 􀁖 􀁓 􀁏 􀁈 􀁈 􀁑 􀀃 􀁚 􀁌 􀁗 􀁋 􀀃 􀁄 􀀃 􀁋 􀁈 􀁗 􀁈 􀁕 􀁒 􀁗 􀁒 􀁓 􀁌 􀁆 􀀃 􀁏 􀁒 􀁆 􀁄 􀁗 􀁌 􀁒 􀁑 􀀑 􀀃 􀀷 􀁒 􀀃 􀁗 􀁋 􀁈 􀀃 􀁅 􀁈 􀁖 􀁗 􀀃 􀁒 􀁉 􀀃 􀁒 􀁘 􀁕 􀀃 􀁎 􀁑 􀁒 􀁚 􀁏 􀁈 􀁇 􀁊 􀁈 􀀏 􀀃 􀁗 􀁋 􀁌 􀁖 􀀃 􀁌 􀁖 􀀃 􀁗 􀁋 􀁈 􀀃 􀂿 􀁕 􀁖 􀁗 􀀃 􀁌 􀁑 􀁗 􀁕 􀁄 􀁓 􀁄 􀁑 􀁆 􀁕 􀁈 􀁄 􀁗 􀁌 􀁆 􀀃 􀁄 􀁆 􀁆 􀁈 􀁖 􀁖 􀁒 􀁕 􀁜 􀀃 􀁖 􀁓 􀁏 􀁈 􀁈 􀁑 􀀃 (IPAS) case in which the positive 68-Ga-dotatate uptake reported in the literature. Our case showed that IPAS is one of the reasons of false positive involvement of 68-Ga-dotatate PET/CT. When PET/CT shows an indeterminate mass in the pancreatic tail with enhanced uptake of 68-Ga-dotatate, surgeons should keep IPAS in their mind for differential diagnosis to avoid false treatment.
 
Keyword(s): 68-Ga-dotatate PET/CT,intrapancreatic accessory spleen,pancreatic neuroendocrine tumors
 
References: 
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