Pancreatic neuroendocrine tumor detected by technetium-99m methoxy-2-isobutylisonitrile single photon emission computed tomography/computed tomography:A case report  

作　　者：Chang-Jiang Liu Hua-Jun Yang Yan-Chun Peng De-Yu Huang 

机构地区：[1]Department of Nuclear Medicine,Xingyi People’s Hospital,Xingyi 562400,Guizhou Province,China [2]Department of Pulmonary and Critical Care Medicine,Xingyi People’s Hospital,Xingyi 562400,Guizhou Province,China [3]Department of Hepatobiliary,Pancreatic and Splenic Surgery,Xingyi People’s Hospital,Xingyi 562400,Guizhou Province,China [4]Department of Pathology,Xingyi People’s Hospital,Xingyi 562400,Guizhou Province,China

出　　处：《World Journal of Clinical Cases》2023年第12期2825-2831,共7页世界临床病例杂志

摘　　要：BACKGROUND Pancreatic neuroendocrine tumors(NETs)account for about 1%–2%of pancreatic tumors and about 8%of all NETs.Computed tomography(CT),magnetic resonance imaging,and endoscopic ultrasound are common imaging modalities for the diagnosis of pancreatic NETs.Furthermore,somatostatin receptor imaging is of great value for diagnosing pancreatic NETs.Herein,we report the efficacy of technetium-99m methoxy-2-isobutylisonitrile(99mTc-MIBI)single photon emission CT(SPECT)/CT for detecting pancreatic NETs.CASE SUMMARY A 57-year-old woman presented to our hospital with a 1-d history of persistent upper abdominal distending pain.The distending pain in the upper abdomen was aggravated after eating,with nausea and retching.Routine blood test results showed a high neutrophil percentage,low leukomonocyte and monocyte percentages,and low leukomonocyte and eosinophil counts.Amylase,liver and kidney function,and tumor markers alpha-fetoprotein,carcinoembryonic antigen,and cancer antigen(CA)125,CA72-4,CA19-9,and CA153 were normal.Abdominal CT showed a mass,with multiple calcifications between the pancreas and the spleen.The boundary between the mass and the pancreas and spleen was poorly defined.Contrast-enhanced CT revealed that the upper abdominal mass was unevenly and gradually enhanced.99mTc-MIBI SPECT/CT revealed that a focal radioactive concentration,with mild radioactive concentration extending into the upper abdominal mass,was present at the pancreatic body and tail.The 99mTc-MIBI SPECT/CT manifestations were consistent with the final pathological diagnosis of pancreatic NET.CONCLUSION 99mTc-MIBI SPECT/CT appears to be a valuable tool for detecting pancreatic NETs.

关 键 词：Neuroendocrine tumors PANCREAS Tc-99m-Methoxy-2-isobutylisonitrile Single photon emission computed tomography X-ray computed tomography Case report 

分 类 号：R735.9[医药卫生—肿瘤]