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Vol 8, No 2 (2005)
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Published online: 2005-06-23
Submitted: 2012-01-23
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99mTc-EDDA/HYNIC-octreotate - a new radiotracer for detection and staging of NET. A case of metastatic duodenal carcinoid

Alicja Hubalewska-Dydejczyk, Piotr Szybiński, Katarzyna Fröss-Baron, Renata Mikolajczak, Bohdan Huszno, Anna Sowa-Staszczak
Nucl. Med. Rev 2005;8(2):155-156.

open access

Vol 8, No 2 (2005)
Interesting image
Published online: 2005-06-23
Submitted: 2012-01-23

Abstract

Somatostatin receptor scintigraphy (SRS) has become a routine imaging method for the diagnostics of neuroendocrine tumours (NET). 99mTc-EDDA/HYNIC-octreotate (Polatom, Poland) is a new radiotracer with high affinity for SSTR2 and similar physiological biodistribution to 111In-Octreoscan.
We present a case of a 47-year-old man with disseminated duodenal carcinoid. The patient had been operated due to the tumour mass detected in pancreatic head area. Histopathology revealed carcinoid of the duodenal wall with local lymph node and liver metastases. The patient was qualified for chemotherapy stopped due to severe leucopenia. 99mTc EDDA/HYNIC-octreotate scintigraphy was performed for staging and to determine SSTR status of the tumour before planned 90Y-DOTATATE therapy. The multiple metastatic lesions were detected all over the body. The high quality images with high target/non target ratio were obtained. 99mTc-MDP scintigraphy confirmed multiple bone metastases. On the basis of SRS result the patient was qualified for 90Y-DOTA-TATE therapy. In conclusion, 99mTc EDDA/HYNIC-octreotate can be regarded as a promising tracer for staging and to determine SSTR status of NET.

Abstract

Somatostatin receptor scintigraphy (SRS) has become a routine imaging method for the diagnostics of neuroendocrine tumours (NET). 99mTc-EDDA/HYNIC-octreotate (Polatom, Poland) is a new radiotracer with high affinity for SSTR2 and similar physiological biodistribution to 111In-Octreoscan.
We present a case of a 47-year-old man with disseminated duodenal carcinoid. The patient had been operated due to the tumour mass detected in pancreatic head area. Histopathology revealed carcinoid of the duodenal wall with local lymph node and liver metastases. The patient was qualified for chemotherapy stopped due to severe leucopenia. 99mTc EDDA/HYNIC-octreotate scintigraphy was performed for staging and to determine SSTR status of the tumour before planned 90Y-DOTATATE therapy. The multiple metastatic lesions were detected all over the body. The high quality images with high target/non target ratio were obtained. 99mTc-MDP scintigraphy confirmed multiple bone metastases. On the basis of SRS result the patient was qualified for 90Y-DOTA-TATE therapy. In conclusion, 99mTc EDDA/HYNIC-octreotate can be regarded as a promising tracer for staging and to determine SSTR status of NET.
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Keywords

99m 99mTc-Tc-EDDA/HYNIC-octreotate; SRS; duodenal carcinoid

About this article
Title

99mTc-EDDA/HYNIC-octreotate - a new radiotracer for detection and staging of NET. A case of metastatic duodenal carcinoid

Journal

Nuclear Medicine Review

Issue

Vol 8, No 2 (2005)

Pages

155-156

Published online

2005-06-23

Bibliographic record

Nucl. Med. Rev 2005;8(2):155-156.

Keywords

99m 99mTc-Tc-EDDA/HYNIC-octreotate
SRS
duodenal carcinoid

Authors

Alicja Hubalewska-Dydejczyk
Piotr Szybiński
Katarzyna Fröss-Baron
Renata Mikolajczak
Bohdan Huszno
Anna Sowa-Staszczak

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