Incidental Detection of Previously Unknown Breast Cancer on Tc-99M Mibi Scintigraphy

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Tarih

2021

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Dergi ISSN

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Yayıncı

Trakya Üniversitesi

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Aims: Tc-99m methoxyisobutylisonitrile scintigraphy is a diagnostic method commonly used for cardiac perfusion imaging. It is also used for parathyroid, lung, breast, thyroid, brain, melanoma, lymphoma, bone, and soft tissue primary and secondary tumors imaging. Our case aims to report a breast cancer incidentally revealed by Tc-99m methoxyisobutylisonitrile scintigraphy. Case Report: A 49-year-old female patient was admitted to the cardiology depart- ment with atypical angina. Tc-99m methoxyisobutylisonitrile scintigraphy showed myocardial perfusion was within normal limits but a focal uptake was detected in the lateral superior quadrant of the left breast. Ultrasonography detected a lesion with irregular borders in the outer quadrant of the left breast and a lymph node with increased thickness of the cortex in the left axilla. Magnetic resonance imaging showed a mass with a spiculated contour in the outer quadrant of the left breast and lymph nodes with increased cortex thickness in both axillae. By the histopathologic examination, the specimen was diag- nosed with invasive ductal carcinoma. Conclusion: Although Tc-99m methoxyisobutylisonitrile scintigraphy is mainly used for myocardial perfusion imag- ing, the entire image area should be examined in detail and further investigation should be done for incidental focal lesions that were previously undetected.

Açıklama

Anahtar Kelimeler

Tc-99m methoxyisobutylisonitrile, breast cancer, scintigraphy, incidental

Kaynak

Turkish Medical Student Journal

WoS Q Değeri

Scopus Q Değeri

Cilt

8

Sayı

1

Künye