Clinical Nuclear Medicine · 2014 · 18 citations · 7 references
MedicineNuclear MedicineRadiologyDiagnostic RadiologyEndocrine OncologyGastrointestinal OncologyEndocrine Tumor DiagnosisEndocrine Tumor ImagingEndocrine TumorsNeuroendocrine TumorsPancreatic CancerPancreatic DiseasesAccessory SpleenGastrointestinal Neuroendocrine TumorsNeuroendocrine Tumor TracersPancreatic Cancer ImagingPancreatic Lesion EvaluationPancreatic Neuroendocrine NeoplasmsPancreatic Neuroendocrine Tumor DiagnosisPancreatic Neuroendocrine Tumor Imaging
A 77-year-old man was referred to our center for a suspected neuroendocrine neoplasm in the pancreatic tail, incidentally detected at CT. Ga DOTANOC PET/CT showed intense tracer uptake in the pancreatic lesion. At MRI, the lesion was similar to the spleen on all sequences, suggesting the presence of intrapancreatic accessory spleen. A Tc-colloid SPECT/CT scan performed to differentiate spleen tissue from neuroendocrine tumor revealed a focal uptake in the pancreatic lesion, thus confirming the presence of ectopic spleen and avoiding unnecessary surgery.
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Accessory Spleens In or at the Tail of the Pancreas
B Halpert · Medical Entomology and Zoology · 1964 · 72 citations