title: 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.affiliation: From the Departments of *Nuclear Medicine/Radiology, †Visceral Surgery, ‡Pathology and §Endocrinology, Cantonal Hospital Lucerne, Lucerne, Switzerland.
authors.forename: Ujwal
authors.initials: U
authors.lastname: Bhure
authors.forename: Jürg
authors.initials: J
authors.lastname: Metzger
authors.forename: Franziska Aebersold
authors.initials: FA
authors.lastname: Keller
authors.forename: Andrea
authors.initials: A
authors.lastname: Zander
authors.forename: Marisol Pérez
authors.initials: MP
authors.lastname: Lago
authors.forename: Kerstin
authors.initials: K
authors.lastname: Herring
authors.forename: Klaus
authors.initials: K
authors.lastname: Strobel
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D064847:Multimodal Imaging; D018358:Neuroendocrine Tumors / Q000000981:diagnostic imaging*; D009942:Organometallic Compounds; D010179:Pancreas / Q000002:abnormalities / Q000000981:diagnostic imaging*; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D013154:Spleen / Q000002:abnormalities / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed
chemical_list: D009942:Organometallic Compounds; D019275:Radiopharmaceuticals; C513399:gallium Ga 68 dotatate