title: An incidentally found inflamed uterine myoma causing low abdominal pain, using Tc-99m-tektrotyd single photon emission computed tomography-CT hybrid imaging.
abstract: We report the case of a 50-year-old woman presented with a history of right hemicolectomy due to an ileocecal neuroendocrine tumor and left breast metastasis. Owing to a slightly elevated chromogranin A-level and lower abdominal pain, single photon emission computed tomography-computer tomography (SPECT-CT) was performed. There were no signs of recurrence on the SPECT-CT scan, but the patient was incidentally found to have an inflamed intramural myoma. We believe that the slightly elevated chromogranin A-level was caused by the hypertension that the patient presented. In the clinical context, this is a report of an inflamed uterine myoma seen as a false positive result detected by TC-99m-Tc-EDDA/HYNIC-Tyr3-Octreotide (Tektrotyd) SPECT-CT hybrid imaging.
authors.affiliation: Institute of Radiology and Nuclear Medicine, Hanusch-Hospital, Teaching Hospital of Medical University of Vienna, Vienna A-1140, Austria.
authors.forename: Shahin
authors.initials: S
authors.lastname: Zandieh
authors.forename: Matthias
authors.initials: M
authors.lastname: Schütz
authors.forename: Reinhard
authors.initials: R
authors.lastname: Bernt
authors.forename: Jochen
authors.initials: J
authors.lastname: Zwerina
authors.forename: Joerg
authors.initials: J
authors.lastname: Haller
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging* / Q000209:etiology; D004492:Edetic Acid / Q000031:analogs & derivatives*; D005260:Female; D006801:Humans; D033162:Incidental Findings; D007889:Leiomyoma / Q000150:complications / Q000000981:diagnostic imaging*; D008875:Middle Aged; D015609:Organotechnetium Compounds; D019275:Radiopharmaceuticals; D015899:Tomography, Emission-Computed, Single-Photon / Q000379:methods*; D014594:Uterine Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*
chemical_list: D015609:Organotechnetium Compounds; D019275:Radiopharmaceuticals; C031123:technetium Tc 99m ethylenediamine-N,N-diacetic acid; D004492:Edetic Acid
keywords: SPECT-CT; Tektrotyd; Uterine myoma
references.citation: J Nucl Med. 2000 Oct;41(10):1704-13
references.pmid: 11038002
references.citation: Clin Nucl Med. 2010 Jul;35(7):524-5
references.pmid: 20548148
references.citation: AJR Am J Roentgenol. 1998 Oct;171(4):1103-10
references.pmid: 9763005
references.citation: J Nucl Med. 1999 Apr;40(4):539-53
references.pmid: 10210211
references.citation: Eur J Nucl Med. 1994 Jun;21(6):497-502
references.pmid: 8082663
references.citation: World J Surg. 1998 Jul;22(7):679-83
references.pmid: 9606281
references.citation: Eur J Nucl Med. 1993 Aug;20(8):716-31
references.pmid: 8404961
references.citation: Radiol Clin North Am. 1992 Jul;30(4):817-30
references.pmid: 1631287
references.citation: Hypertension. 1985 May-Jun;7(3 Pt 2):I76-9
references.pmid: 3997234
references.citation: Horm Metab Res Suppl. 1993;27:28-35
references.pmid: 8330869