Renal Cell Carcinoma With Tumor Thrombus Extending Into the Inferior Vena Cava and the Right Atrium Demonstrated by 68 Ga-DOTATATE PET/CT.

IF 9.6 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Clinical Nuclear Medicine Pub Date : 2024-11-01 Epub Date: 2024-10-01 DOI:10.1097/RLU.0000000000005487
Nuh Filizoglu, Salih Ozguven
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Abstract

Abstract: Approximately 10% of all renal cell carcinoma (RCC) patients develop a venous tumor thrombus, a major negative prognostic factor. Surgical excision is commonly required for RCC patients with tumor thrombus. Accurate preoperative diagnosis and assessment of tumor thrombus level is vital because the level of thrombus may influence treatment decisions. MRI, contrast-enhanced CT, 18 F-FDG PET/CT, and 68 Ga-PSMA PET/CT have been used to diagnose and evaluate the extent of tumor thrombus in RCC. However, no case of RCC with inferior vena cava tumor thrombus showing 68 Ga-DOTATATE uptake has been reported yet. Herein, we report a case of metastatic RCC with tumor thrombus in the inferior vena cava on 68 Ga-DOTATATE PET/CT.

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68Ga-DOTATATE PET/CT 显示肿瘤血栓延伸至下腔静脉和右心房的肾细胞癌。
摘要:在所有肾细胞癌(RCC)患者中,约有 10% 的患者会出现静脉肿瘤血栓,这是一个主要的不良预后因素。有肿瘤血栓的 RCC 患者通常需要进行手术切除。准确的术前诊断和肿瘤血栓水平评估至关重要,因为血栓水平可能会影响治疗决策。核磁共振成像、对比增强 CT、18F-FDG PET/CT 和 68Ga-PSMA PET/CT 已被用于诊断和评估 RCC 肿瘤血栓的程度。然而,目前还没有一例下腔静脉肿瘤血栓的RCC显示68Ga-DOTATATE摄取。在此,我们报告了一例68Ga-DOTATATE PET/CT显示下腔静脉存在肿瘤血栓的转移性RCC病例。
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来源期刊
Clinical Nuclear Medicine
Clinical Nuclear Medicine 医学-核医学
CiteScore
2.90
自引率
31.10%
发文量
1113
审稿时长
2 months
期刊介绍: Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.
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