Incidental primary breast cancer detected on surveillance 68Ga-DOTATATE PET/CT in a patient with metastatic neuroendocrine carcinoma

We present a case of a 53-year-old woman with metastatic neuroendocrine tumor, presumed primary in the small intestine with metastases to the liver and mesenteric lymph nodes. The patient was being treated with lanreotide and followed with somatostatin receptor (SSTR)-targeted 68Ga-labeled 1,4,7,10-...

Full description

Bibliographic Details
Main Authors: Emily B. Ambinder, MD, Rudolf A. Werner, MD, Steven P. Rowe, MD, PhD
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043320302302
_version_ 1818352681778937856
author Emily B. Ambinder, MD
Rudolf A. Werner, MD
Steven P. Rowe, MD, PhD
author_facet Emily B. Ambinder, MD
Rudolf A. Werner, MD
Steven P. Rowe, MD, PhD
author_sort Emily B. Ambinder, MD
collection DOAJ
description We present a case of a 53-year-old woman with metastatic neuroendocrine tumor, presumed primary in the small intestine with metastases to the liver and mesenteric lymph nodes. The patient was being treated with lanreotide and followed with somatostatin receptor (SSTR)-targeted 68Ga-labeled 1,4,7,10-tetraazacyclododecane-N,N', N'',N'''-tetraacetic acid-d-Phe(1)-Tyr(3)-octreotate (68Ga-DOTATATE) positron emission tomography – computed tomography (PET/CT). On a follow-up exam, the patient's primary and metastatic disease had improved but she had new 68Ga-DOTATATE-avid lesions in the right breast and right axilla. Subsequent breast imaging workup and biopsy demonstrated a primary breast cancer and axillary lymph node metastasis.
first_indexed 2024-12-13T18:57:30Z
format Article
id doaj.art-6f6dd07996f242119ead7f54e4f8381b
institution Directory Open Access Journal
issn 1930-0433
language English
last_indexed 2024-12-13T18:57:30Z
publishDate 2020-08-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj.art-6f6dd07996f242119ead7f54e4f8381b2022-12-21T23:34:46ZengElsevierRadiology Case Reports1930-04332020-08-0115813441347Incidental primary breast cancer detected on surveillance 68Ga-DOTATATE PET/CT in a patient with metastatic neuroendocrine carcinomaEmily B. Ambinder, MD0Rudolf A. Werner, MD1Steven P. Rowe, MD, PhD2Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 601 N. Caroline Street, Baltimore 21287, MD, USA; Corresponding author.Department of Nuclear Medicine, Hannover Medical School, Hannover, GermanyRussell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, 601 N. Caroline Street, Baltimore 21287, MD, USAWe present a case of a 53-year-old woman with metastatic neuroendocrine tumor, presumed primary in the small intestine with metastases to the liver and mesenteric lymph nodes. The patient was being treated with lanreotide and followed with somatostatin receptor (SSTR)-targeted 68Ga-labeled 1,4,7,10-tetraazacyclododecane-N,N', N'',N'''-tetraacetic acid-d-Phe(1)-Tyr(3)-octreotate (68Ga-DOTATATE) positron emission tomography – computed tomography (PET/CT). On a follow-up exam, the patient's primary and metastatic disease had improved but she had new 68Ga-DOTATATE-avid lesions in the right breast and right axilla. Subsequent breast imaging workup and biopsy demonstrated a primary breast cancer and axillary lymph node metastasis.http://www.sciencedirect.com/science/article/pii/S1930043320302302Breast neoplasmDotatate PET/CTSomatostatin receptor imagingNeuroendocrine carcinoma
spellingShingle Emily B. Ambinder, MD
Rudolf A. Werner, MD
Steven P. Rowe, MD, PhD
Incidental primary breast cancer detected on surveillance 68Ga-DOTATATE PET/CT in a patient with metastatic neuroendocrine carcinoma
Radiology Case Reports
Breast neoplasm
Dotatate PET/CT
Somatostatin receptor imaging
Neuroendocrine carcinoma
title Incidental primary breast cancer detected on surveillance 68Ga-DOTATATE PET/CT in a patient with metastatic neuroendocrine carcinoma
title_full Incidental primary breast cancer detected on surveillance 68Ga-DOTATATE PET/CT in a patient with metastatic neuroendocrine carcinoma
title_fullStr Incidental primary breast cancer detected on surveillance 68Ga-DOTATATE PET/CT in a patient with metastatic neuroendocrine carcinoma
title_full_unstemmed Incidental primary breast cancer detected on surveillance 68Ga-DOTATATE PET/CT in a patient with metastatic neuroendocrine carcinoma
title_short Incidental primary breast cancer detected on surveillance 68Ga-DOTATATE PET/CT in a patient with metastatic neuroendocrine carcinoma
title_sort incidental primary breast cancer detected on surveillance 68ga dotatate pet ct in a patient with metastatic neuroendocrine carcinoma
topic Breast neoplasm
Dotatate PET/CT
Somatostatin receptor imaging
Neuroendocrine carcinoma
url http://www.sciencedirect.com/science/article/pii/S1930043320302302
work_keys_str_mv AT emilybambindermd incidentalprimarybreastcancerdetectedonsurveillance68gadotatatepetctinapatientwithmetastaticneuroendocrinecarcinoma
AT rudolfawernermd incidentalprimarybreastcancerdetectedonsurveillance68gadotatatepetctinapatientwithmetastaticneuroendocrinecarcinoma
AT stevenprowemdphd incidentalprimarybreastcancerdetectedonsurveillance68gadotatatepetctinapatientwithmetastaticneuroendocrinecarcinoma