Positive Tc-99m MIBI Breast Study Related to a Psoriatic Lesion

A woman was examined because of a painful left breast accompanied by excoriation and ulceration of the areola and nipple and some deformity. Because of the pagetoid changes in the nipple, a Tc-99m Miraluma (Tc-99m sestamibi) imaging study was performed. This revealed uptake in the areola and a small area near the chest wall. Biopsy of the areola revealed psoriasis. She was treated with an antipsoriatic cream, which healed the skin lesion. Two months after the initial Tc-99m Miraluma image, the results of another study were negative in both the areola and deep regions.