Primary Neuroendocrine Tumor of the Ileostomy Stoma on 68Ga-DOTATATE PET/CT

Lei Yu, Alexander Braun, Neil J. Hansen, Ryan T. Downey, Craig M. Johnson

Research output: Contribution to journalArticlepeer-review

Abstract

A 75-year-old man presented with bleeding ileostomy stoma 20 years after total colectomy and end ileostomy for chronic ulcerative colitis. On physical examination, the stoma was mass-like and firm with friable mucosa. Wedge biopsy of the ileostomy stoma revealed well-differentiated neuroendocrine tumor (intermediate grade). 68Ga-DOTATATE PET/CT showed mass-like focal radiotracer uptake at the ileostomy site without radiotracer-avid lymphadenopathy or distant metastatic disease. No additional sites of neoplasm in the gastrointestinal tract were further identified by endoscopy. The diagnosis of isolated primary neuroendocrine tumor of the ileostomy stoma was confirmed, an extremely rare entity.

Original languageEnglish (US)
Pages (from-to)463-464
Number of pages2
JournalClinical nuclear medicine
Volume45
Issue number6
DOIs
StatePublished - Jun 1 2020

Keywords

  • Ga-DOTATATE PET/CT
  • neuroendocrine tumor of ileum
  • primary stomal tumor
  • ulcerative colitis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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