We present the case of a 60-year-old man with metastatic neuroendocrine tumor of the ileum following ileal resection, being evaluated for Lu-based peptide receptor radionuclide therapy. Ga-DOTANOC PET/CT showed focal increased tracer uptake in the scrotal region without any morphologic changes on the corresponding CT images. Similar increased tracer uptake was seen on post-therapy whole-body imaging following Lu-DOTATATE therapy. An USG guided FNA revealed no malignant cells on cytopathologic examination. This case illustrates that focal testicular tracer uptake, may not always be pathological and can represent a normal physiologic variant, similar to the diffuse testicular somatostatin receptor expression as previously reported in literature.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7354247 | PMC |
| http://dx.doi.org/10.22038/AOJNMB.2020.44324.1297 | DOI Listing |
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