Intra-pancreatic Accessory Spleen Mimicking Pancreatic Neuroendocrine Tumor on 68-Ga-Dotatate PET/CT
- Resource Type
- Authors
- Erdal Birol, Bostancı; Volkan, Oter; Sarper, Okten; Nuriye Ozlem, Küçük; Cigdem, Soydal; Nesrin, Turhan; Musa, Akoglu
- Source
- Archives of Iranian medicine. 19(11)
- Subject
- Adult
Diagnosis, Differential
Male
Pancreatic Neoplasms
Neuroendocrine Tumors
Pancreatectomy
Positron Emission Tomography Computed Tomography
Organometallic Compounds
Humans
Pancreatic Diseases
Choristoma
Spleen
Ultrasonography
- Language
- ISSN
- 1735-3947
Neuroendocrine tumors (NETs) are rare tumors, but the incidence is increasing with new diagnostics. A 37-year-old man was admitted to our hospital for an incidental 17-mm nodule in the tail of the pancreas. PET/CT shows indeterminate mass in the pancreatic tail with enhanced uptake of 68-Ga-dotatate. NET was suspected and laparoscopic distal pancreatectomy was performed. Pathologic examination revealed an accessory spleen with a heterotopic location. To the best of our knowledge, this is the first intrapancreatic accessory spleen (IPAS) case in which the positive 68-Ga-dotatate uptake reported in the literature. Our case showed that IPAS is one of the reasons of false positive involvement of 68-Ga-dotatate PET/CT. When PET/CT shows an indeterminate mass in the pancreatic tail with enhanced uptake of 68-Ga-dotatate, surgeons should keep IPAS in their mind for differential diagnosis to avoid false treatment.