Discovery of a neuroendocrine tumor of the caecum by mammary metastasis using 18F‐DOPA‐PET

Neuroendocrine tumors (NET) develop from the diffuse endocrine system. These are rare tumors that can affect diverse organs. We present here the case of a 42‐year‐old female patient in whom a NET of the breast was discovered that was likely not of mammary origin. The main challenge was finding the p...

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Veröffentlicht in:The journal of obstetrics and gynaecology research 2018-12, Vol.44 (12), p.2195-2198
Hauptverfasser: Gornes, Hugo, Vaysse, Charlotte, Deslandres, Marion, Perallon, Romain, Chantalat, Elodie, Rimailho, Jacques
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container_issue 12
container_start_page 2195
container_title The journal of obstetrics and gynaecology research
container_volume 44
creator Gornes, Hugo
Vaysse, Charlotte
Deslandres, Marion
Perallon, Romain
Chantalat, Elodie
Rimailho, Jacques
description Neuroendocrine tumors (NET) develop from the diffuse endocrine system. These are rare tumors that can affect diverse organs. We present here the case of a 42‐year‐old female patient in whom a NET of the breast was discovered that was likely not of mammary origin. The main challenge was finding the primary tumor using immunohistochemistry and specific medical imaging modalities for NET. The primary tumor was localized at the last ileal loop upstream of the Bauhin valve thanks to the use of 18F‐DOPA‐PET. Ileocaecal resection by laparoscopy was performed. A WHO grade 2 NET of the ileum measuring 2.2 cm × 1.5 cm was found that infiltrated the submucosa with six metastatic lymph nodes of the eight removed (6N+/8). This unusual clinical case is the first one of a digestive NET of the ileum‐caecal junction by mammary metastasis.
doi_str_mv 10.1111/jog.13776
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subjects 18F‐DOPA‐PET
Adult
breast
Breast Neoplasms - diagnosis
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - secondary
caecum
Cecal Neoplasms - diagnosis
Cecal Neoplasms - diagnostic imaging
Cecal Neoplasms - pathology
Dihydroxyphenylalanine
Dihydroxyphenylalanine - analogs & derivatives
Endocrine system
Female
Humans
Ileum
Immunohistochemistry
Laparoscopy
Lymph nodes
mammary metastasis
Metastases
Metastasis
Neoplasm Metastasis
neuroendocrine tumor
Neuroendocrine tumors
Neuroendocrine Tumors - diagnosis
Neuroendocrine Tumors - diagnostic imaging
Neuroendocrine Tumors - secondary
octreoscan
Positron emission tomography
Tumors
title Discovery of a neuroendocrine tumor of the caecum by mammary metastasis using 18F‐DOPA‐PET
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