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Journal Article
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2017
Overview
Three sites of intense DOTATATE uptake were found (Fig. 1, arrows): (1) terminal ileum (standard uptake value [SUV], 7.0) without associated soft-tissue abnormality; (2) left glossopharyngeal sulcus and left tongue base (SUV, 6.0) associated with asymmetric fullness at this location, mild left oropharyngeal narrowing, and a 2.1-cm left cervical node; and (3) uncinate process of the pancreas (SUV, 10.0) without an associated mass but with fatty atrophy of the pancreatic body and tail. The location and imaging features of the lesion at the tongue base on CT is highly suspicious of squamous cell carcinoma, which is also positive on Gallium-68 somatostatin analogue PET (2). In the absence of a corresponding pancreatic mass identified by CT or magnetic resonance imaging, the pancreatic head uptake is most likely due to pancreatic polypeptide cell pseudohyperplasia, an often overlooked physiologic condition.
Publisher
Elsevier Limited
