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Detection of Cecal Adenocarcinoma by Tc-99m Pertechnetate Scintigram

GARDNER, RICHARD C., M.D.; KANTROWITZ, PAUL A., M.D.; CHANDLER, HAROLD L., M.D.

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A 23-year-old male presented with occult gastrointestinal bleeding and iron deficiency anemia. A Tc-99m pertechnetate abdominal scan was positive and surgery revealed an adenocarcinoma of the cecum. No Meckel's diverticulum was identified. This is the first reported association of an abnormal Tc-99m pertechnetate scan in adenocarcinoma. Carcinoma of the right colon should be considered in any patient with a positive pertechnetate scan for Meckel's diverticulum and suggestive clinical features.

From the Department of Medicine, Mount Auburn Hospital, Cambridge, Massachusetts

© Lippincott-Raven Publishers.