Intrapancreatic Accessory Spleen Mimicking Neuroendocrine Tumor on 68Ga-DOTATATE PET/CT.

Abstract

Besides well-known physiologic uptake of Ga-DOTATATE in spleen, pituitary gland, pancreatic head, adrenals, kidney, and urinary bladder, sometimes unusual areas of uptake are found. We report a case of a 53-year-old woman who had vague pain in abdomen for which abdominal CT was done showing a contrast-enhancing lesion in the pancreatic tail. It was suspected to be of neuroendocrine origin and Ga-DOTATATE PET/CT showed a corresponding focal uptake. Spleen-preserving pancreatic tail resection was performed. Pathology revealed the diagnosis of an accessory intrapancreatic spleen (AIPS).

• Authors: Ujwal Bhure, Jürg Metzger, Franziska Aebersold Keller, Andrea Zander, Marisol Pérez Lago, Kerstin Herring, Klaus Strobel
• Journal: Clinical nuclear medicine (Clin Nucl Med) Vol. 40 Issue 9 Pg. 744-5 (Sep 2015) ISSN: 1536-0229 [Electronic] United States
• PMID: 26053721 (Publication Type: Case Reports, Journal Article)

Chemical References

• Organometallic Compounds
• Radiopharmaceuticals
• gallium Ga 68 dotatate

Topics

• Female
• Humans
• Middle Aged
• Multimodal Imaging
• Neuroendocrine Tumors (diagnostic imaging)
• Organometallic Compounds
• Pancreas (abnormalities, diagnostic imaging)
• Positron-Emission Tomography
• Radiopharmaceuticals
• Spleen (abnormalities, diagnostic imaging)
• Tomography, X-Ray Computed