Focal myocardial uptake in a patient with carcinoid tumor by indium-111-pentetreotide on SPECT/CT Journal Article
| Authors: | Mahmood, S.; Martinez De Llano, S. R.; Grewal, R. K. |
| Article Title: | Focal myocardial uptake in a patient with carcinoid tumor by indium-111-pentetreotide on SPECT/CT |
| Abstract: | We present a case of a 44 year old man with flushing, diarrhea and markedly elevated 24 hour urinary 5-HIAA level, who was referred for an indium-111 pentetreotide study, after the excision of a carcinoid tumor in the terminal ileum. Scan findings revealed focal uptake in the myocardium and liver, suspicious for metastases. Subsequent transthoracic echocardiogram failed to demonstrate a cardiac lesion. Previously, our group has unequivocally demonstrated the usefulness of software fusion of SPECT and CT imaging in the evaluation of a carcinoid metastasizing to the myocardium. This case illustrates that hardware SPECT/CT fusion imaging utilizing indium-111 pentetreotide to evaluate metastatic carcinoid tumors can be useful. In addition, the echocardiogram can yield false negative results, because of a smaller lesion size and the influence of an operator-dependent factor. |
| Keywords: | adult; clinical feature; case report; diarrhea; metastasis; computer assisted tomography; tumor biopsy; flushing; false negative result; indium radioisotopes; drug uptake; carcinoid; single photon emission computer tomography; protein urine level; carcinoid tumor; heart; heart muscle; pentetreotide in 111; somatostatin; transthoracic echocardiography; 5 hydroxyindoleacetic acid; spect/ct; heart tumor; cardiac metastasis; false negative; indium-111 pentetreotide; ileum tumor; carcinoid heart disease |
| Journal Title: | Revista Espanola de Medicina Nuclear |
| Volume: | 27 |
| Issue: | 5 |
| ISSN: | 0212-6982 |
| Publisher: | Elsevier Science Inc. |
| Date Published: | 2008-09-01 |
| Start Page: | 355 |
| End Page: | 357 |
| Language: | English |
| DOI: | 10.1157/13126192 |
| PUBMED: | 18817665 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 1" - "Export Date: 17 November 2011" - "CODEN: REMNE" - "Source: Scopus" |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work