Abstract
In the recommended staging system for adrenocortical carcinoma, nuclear medicine modalities are optional. In cases of distorted postoperative anatomy and when postoperative infection/inflammation mimics malignancy, functional imaging is helpful. We present a case of a patient with adrenocortical carcinoma where F-18 FDG dual time point imaging and somatostatin receptor scintigraphy were used in the diagnostic work up after surgery complicated by infection, until end-stage palliative peptide receptor radionuclide therapy. The estimated uptake on somatostatin receptor scintigraphy is traditionally done visually on planar images. We suggest a more objective, semiquantitative approach by comparing the tumor uptake with a standard reference.
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