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DOTATATE Case: Inflammation

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This patient presented with abdominal pain

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and was found to have cosis and she underwent an ERCP.

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They incidentally found a gastric mass that they biopsied

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and came back as well.

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Differentiated neuroendocrine tumor, which is the area

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of abnormal focal haptic that I'm showing you here.

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There is a partially calcified mass

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that extends from the cardia outwards

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and has very intense tracer uptake confirming the

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neuroendocrine origin.

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She has an additional finding on this study that I wanted

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to show you, which is this diffuse uptake in the pancreas,

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which on CT shows as per pancreatic stranding

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and, uh, kind of heterogeneous lation.

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This patient had developed a pancreatitis

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after the ERCP,

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and this was healing pancreatitis

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that we could see on the pet CT as well.

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As we have mentioned before, inflammation can show low level

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of tracer uptake as we can see here,

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and it's not necessarily malignant.

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This is the CT dawn of the abdomen

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with contrast on that patient

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showing the enhancing lesion, erasing from the stomach,

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and also the changes related to pancreatitis

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that patient had.

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So we could explain the diffuse uptake

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and abnormal changes in the pancreas, um, on

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the subsequent PET ct.

Report

Faculty

Elisa Franquet Elia, MD

Assistant Professor of Radiology

UMass Chan Medical School

Tags

Response and assessment

PET/CT DOTATATE

PET

Other Systems

Oncologic Imaging

Nuclear Medicine

Non-infectious Inflammatory

Neuroendocrine

General Oncologic Imaging Concepts