Gallium avid breast carcinoma.
Primary breast carcinomas are generally thallium (Tl-201) avid but uncommonly accumulate gallium (GA-67). Therefore, GA-67 scans are not routinely performed in patients with suspected breast cancer. We report a rare case of a primary breast carcinoma with bone marrow metastases where the primary lesion was GA-67 avid but did not accumulate Tl-201. The case also illustrated an unusual presentation of aggressive metastatic breast adenocarcinoma with pancytopenia or bone marrow failure. The extensive bone marrow metastases of the primary breast carcinoma were evident on both the Tl-201 and GA-67 scans.
Department of Nuclear Medicine, Wollongong Hospital, New South Wales, Australia. wlchan@iprimus.com.au
Wai-Ling
WL
Chan
Surjit S
SS
Wadhwa
Martin G
MG
Carolan
D000230:Adenocarcinoma / Q000000981:diagnostic imaging* / Q000556:secondary; D000328:Adult; D019046:Bone Marrow Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D005260:Female; D005710:Gallium Radioisotopes; D006801:Humans; D011877:Radionuclide Imaging; D013794:Thallium Radioisotopes
D005710:Gallium Radioisotopes; D013794:Thallium Radioisotopes