Tc-99m sestamibi imaging of a pancreatic VIPoma and parathyroid adenoma in a patient with multiple type I endocrine neoplasia.
Technetium-99m sestamibi is known to localize in primary malignant and metastatic tumors. Specifically, brain, breast, thyroid, parathyroid, lung, and kidney tumors have been imaged. The Verner Morrison syndrome, which is caused by excessive vasoactive intestinal peptide (VIP), consists of watery diarrhea, hypokalemia, and achlorhydria. This condition is rarely associated with multiple endocrine neoplasia. The authors present a case of multiple endocrine neoplasia type I with visualization of a pancreatic VIPoma and parathyroid adenoma with Tc-99m MIBI.
Cesani
F
F
Department of Radiology, University of Texas Medical Branch, Galveston 77555.
Ernst
R
R
Walser
E
E
Villanueva-Meyer
J
J
D000236:Adenoma / Q000000981:diagnostic imaging*; D000368:Aged; D005260:Female; D006801:Humans; D009377:Multiple Endocrine Neoplasia / Q000000981:diagnostic imaging*; D010190:Pancreatic Neoplasms / Q000000981:diagnostic imaging*; D010282:Parathyroid Neoplasms / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D017256:Technetium Tc 99m Sestamibi; D003969:Vipoma / Q000000981:diagnostic imaging*
D017256:Technetium Tc 99m Sestamibi