Lung Mass Appearing as a Dilated Left Ventricle on Tc-99m Tetrofosmin Myocardial Perfusion Scintigraphy

Tc-99m tetrofosmin is a common tracer used in myocardial perfusion scintigraphy. Several benign and malignant tumors also take up tetrofosmin. We present a case of a 60-year-old woman with a history of a left lung mass awaiting resection. The patient was referred for a myocardial perfusion scan for...

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Veröffentlicht in:Clinical nuclear medicine 2009-09, Vol.34 (9), p.620-621
Hauptverfasser: Gnanasegaran, Gopinath, Williams, Robert, Mclean, Emma, OʼConnell, Rachel, Nunan, Thomas O, OʼDoherty, Michael J
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container_end_page 621
container_issue 9
container_start_page 620
container_title Clinical nuclear medicine
container_volume 34
creator Gnanasegaran, Gopinath
Williams, Robert
Mclean, Emma
OʼConnell, Rachel
Nunan, Thomas O
OʼDoherty, Michael J
description Tc-99m tetrofosmin is a common tracer used in myocardial perfusion scintigraphy. Several benign and malignant tumors also take up tetrofosmin. We present a case of a 60-year-old woman with a history of a left lung mass awaiting resection. The patient was referred for a myocardial perfusion scan for preoperative risk assessment. The myocardial perfusion scan revealed a large cavitated lesion mimicking a dilated left ventricle and the CT scan revealed a large mass in the left lung with central necrosis displacing the heart and mediastinum. The patient underwent thoracotomy with resection of the mass and the histology confirmed atypical carcinoid. This case highlights noncardiac uptake of Tc-99m tetrofosmin in an atypical carcinoid.
doi_str_mv 10.1097/RLU.0b013e3181b06a6b
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subjects Carcinoid Tumor - diagnostic imaging
Carcinoid Tumor - surgery
Female
Heart Ventricles - diagnostic imaging
Heart Ventricles - pathology
Humans
Lung Neoplasms - diagnostic imaging
Lung Neoplasms - surgery
Middle Aged
Myocardial Perfusion Imaging
Organophosphorus Compounds
Organotechnetium Compounds
Tomography, X-Ray Computed
title Lung Mass Appearing as a Dilated Left Ventricle on Tc-99m Tetrofosmin Myocardial Perfusion Scintigraphy
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