In-111 labeled octreotide imaging of a primary carcinoid lesion undetected by conventional imaging studies in a patient with "chronic pancreatitis".
This is a case report of a patient with an initial diagnosis of chronic pancreatitis who actually had metastatic carcinoid tumor. His symptoms of abdominal pain, weight loss, and diarrhea were manifestations of the large tumor bulk within the liver as well as carcinoid syndrome. Although abdominal CT scans showed multiple liver lesions, the primary lesion was not identified by conventional imaging studies. However, the mid-gut primary lesion was visualized on in-111 labeled octreotide scintigraphy; where the liver lesions were better delineated and seen to be separate from the normal pancreas when the Tc-99m sulfur colloid images were compared to the octreotide images.
Kummar
S
S
Department of Medicine, Emory University School of Medicine, Veterans Administration Medical Center, Atlanta, Georgia 30033, USA.
Kim
S L
SL
Halkar
R K
RK
Galt
J R
JR
D015746:Abdominal Pain / Q000175:diagnosis; D000328:Adult; D018931:Antineoplastic Agents, Hormonal / Q000008:administration & dosage / Q000627:therapeutic use; D002276:Carcinoid Tumor / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000556:secondary*; D002908:Chronic Disease; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000175:diagnosis; D006801:Humans; D007205:Indium Radioisotopes; D007414:Intestinal Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy; D008113:Liver Neoplasms / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000556:secondary*; D008297:Male; D008303:Malignant Carcinoid Syndrome / Q000175:diagnosis; D015282:Octreotide / Q000008:administration & dosage / Q000031:analogs & derivatives* / Q000627:therapeutic use; D010195:Pancreatitis / Q000175:diagnosis*; D011877:Radionuclide Imaging; D013671:Technetium Tc 99m Sulfur Colloid; D015431:Weight Loss
D018931:Antineoplastic Agents, Hormonal; D007205:Indium Radioisotopes; C094279:indium-111-octreotide; D013671:Technetium Tc 99m Sulfur Colloid; D015282:Octreotide