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Intramuscular Metastasis of Carcinoid Tumor

A Rare Manifestation

Tiktinsky, Ekaterina, MD; Horne, Tifha, MD; Agranovich, Svetlana, MD; Lantsberg, Sophie, MD

doi: 10.1097/RLU.0b013e31817deac3
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Scintigraphy with In-111 Octreoscan (octreotide) is useful for imaging various neuroendocrine tumors, especially in patients with midgut carcinoids. This radiopharmaceutical imaging technique is currently used for detecting primary and metastatic carcinoid lesions. Such a relatively rare group of tumors can present a difficult diagnostic dilemma, and octreotide imaging may be essential for diagnosis, staging, and choice of treatment. We report on a 43-year-old man with a history of left upper lobectomy due to an atypical bronchial carcinoid tumor. Octreotide was performed for suspected local tumor recurrence, revealing metastasis in skeletal muscle.

From the Department of Nuclear Medicine, Soroka Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.

Received for publication August 28, 2007; revision accepted January 13, 2008.

Reprints: Ekaterina Tiktinsky, MD, Department of Nuclear Medicine, Soroka Medical Center, P.O.B.151, Beer Sheva 841000, Israel. E-mail: tiktinskyk@yahoo.com.

© 2008 Lippincott Williams & Wilkins, Inc.