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Epidural Metastases From Follicular Thyroid Most cancers Mimicking Meningiomas in 68Ga-DOTATATE PET.

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Epidural Metastases From Follicular Thyroid Most cancers Mimicking Meningiomas in 68Ga-DOTATATE PET.

Clin Nucl Med. 2017 Oct;42(10):805-806

Authors: Unterrainer M, Ilhan H, Todica A, Bartenstein P, Albert NL

Summary
We report a girl with multifocal lesions suggestive of meningiomas in MRI, which additionally offered with excessive Ga-DOTATATE uptake in PET, a discovering attribute for meningioma. A complete-body staging resulting from a pathological fracture revealed a number of neoplastic lesions all through the physique with out detection of a main web site. Subsequent pathological workup of a lung lesion revealed multifocal metastases from follicular thyroid most cancers regardless of thyroidectomy 10 years in the past (with out pathological discovering), and posttreatment scans after radioiodine remedy confirmed the a number of mind lesions to be metastases as effectively. Our case exhibits that epidural metastases from endocrine origin may signify a medical pitfall in Ga-DOTATATE PET.

PMID: 28806249 [PubMed – indexed for MEDLINE]

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