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Incidental Uptake in Benign Gynecomastia on 68Ga-DOTATATE PET/CT

Pandika, Veska MD*; Covington, Matthew F. MD*,†

doi: 10.1097/RLU.0000000000002597
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A 54-year-old man with mesenteric carcinoid tumor metastatic to the liver completed staging 68Ga-DOTATATE PET/CT demonstrating uptake in multiple hepatic lesions consistent with liver metastases with additional asymmetric increased uptake in the right greater than the left breast. Subsequent bilateral diagnostic mammogram revealed benign right greater than left gynecomastia without suspicious underlying mass. With Food and Drug Administration approval of 68Ga-DOTATATE and the increased use of this analog in neuroendocrine tumor imaging, this case illustrates a relevant example of uptake that can potentially mimic malignancy.

From the *Breast Imaging

Nuclear Medicine Sections, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO.

Received for publication February 22, 2019; revision accepted March 17, 2019.

Conflicts of interest and sources of funding: M.F.C. received personal fees from Hologic, Inc, for educational speaking outside the submitted work. V.P. has none declared.

Correspondence to: Matthew F. Covington, MD, 510 South Kingshighway Blvd, Campus Box 8131, St Louis, MO 63110. E-mail:

Online date: April 15, 2019

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