PMID- 31982106 OWN - NLM STAT- MEDLINE DCOM- 20200908 LR - 20200908 IS - 2213-3941 (Electronic) IS - 0003-4266 (Linking) VI - 81 IP - 1 DP - 2020 Feb TI - Comparison of 68Ga-Dotatate PET/CT and 18F-FDOPA PET/CT for the diagnosis of pancreatic neuroendocrine tumors in a MEN1 patient. PG - 39-43 LID - S0003-4266(19)30235-5 [pii] LID - 10.1016/j.ando.2019.11.001 [doi] AB - CONTEXT: Pancreatic neuroendocrine tumors (PNETs) occur in more than 80% of patients with multiple endocrine neoplasia type 1 (MEN1) syndrome, with predominance of small (<1cm) non-functioning tumors, followed by gastrinomas and insulinomas. Due to their small size, the diagnostic performance of conventional MRI and CT imaging is highly variable, with a real risk of false-negatives. Functional imaging on 111In-DTPA-Octreotide SPECT somatostatin receptor scintigraphy (Octreoscan(R)) is the modality of choice, but shows only 80% sensitivity. Alternatively, 18F-fluorodihydroxyphenylalanine (FDOPA) and, more recently, 68Ga-Dotatate PET/CT imaging are valuable options in case of negative Octreoscan(R). CASE REPORT: A 55 old-year woman diagnosed with MEN1 syndrome, presented with multiple asymptomatic but progressive PNETs revealed on ultrasound endoscopy. Octreoscan(R) was negative, as was 18F-FDOPA PET/CT, whereas 68Ga-Dotatate PET/CT detected all PNETs found on endoscopy. CONCLUSION: We here report the first case of a MEN1 patient who successfully underwent a 68Ga-Dotatate PET/CT for detection and follow-up of PNETs, while both Octreoscan(R) and 18F-FDOPA PET/CT were negative. CI - Copyright (c) 2019 Elsevier Masson SAS. All rights reserved. FAU - Jullien, Marine AU - Jullien M AD - Inserm U1251, service d'endocrinologie, Marseille Medical Genetics, Hopital de la Conception, Aix-Marseille Universite, AP-HM, Marseille, France. FAU - Reichert, Thibault AU - Reichert T AD - Service de medecine nucleaire, hopital de la Timone, Aix-Marseille Universite, AP-HM, Marseille, France. FAU - D'Anella, Pascal AU - D'Anella P AD - Service d'endocrinologie, centre hospitalier d'Avignon, Avignon, France. FAU - Castinetti, Frederic AU - Castinetti F AD - Inserm U1251, service d'endocrinologie, Marseille Medical Genetics, Hopital de la Conception, Aix-Marseille Universite, AP-HM, Marseille, France. FAU - Barlier, Anne AU - Barlier A AD - Inserm U1251, laboratoire de biologie moleculaire, Marseille Medical Genetics, Hopital de la Conception, Aix-Marseille Universite, AP-HM, Marseille, France. FAU - Brue, Thierry AU - Brue T AD - Inserm U1251, service d'endocrinologie, Marseille Medical Genetics, Hopital de la Conception, Aix-Marseille Universite, AP-HM, Marseille, France. FAU - Taieb, David AU - Taieb D AD - Service de medecine nucleaire, hopital de la Timone, Aix-Marseille Universite, AP-HM, Marseille, France. FAU - Cuny, Thomas AU - Cuny T AD - Inserm U1251, service d'endocrinologie, Marseille Medical Genetics, Hopital de la Conception, Aix-Marseille Universite, AP-HM, Marseille, France. Electronic address: thomas.cuny@ap-hm.fr. LA - eng PT - Case Reports PT - Comparative Study PT - Journal Article DEP - 20191216 PL - France TA - Ann Endocrinol (Paris) JT - Annales d'endocrinologie JID - 0116744 RN - 0 (Organometallic Compounds) RN - 2C598205QX (fluorodopa F 18) RN - 63-84-3 (Dihydroxyphenylalanine) RN - 9L17Y0H71P (gallium Ga 68 dotatate) SB - IM MH - Dihydroxyphenylalanine/*analogs & derivatives MH - Female MH - Humans MH - Middle Aged MH - Multiple Endocrine Neoplasia Type 1/complications/*diagnosis/pathology MH - Neuroendocrine Tumors/complications/*diagnosis/pathology MH - *Organometallic Compounds MH - Pancreatic Neoplasms/complications/*diagnosis/pathology MH - Positron Emission Tomography Computed Tomography/*methods OTO - NOTNLM OT - (18)F-FDOPA TEP/TDM OT - 18F-FDOPA PET/CT OT - 68(Ga)-DOTATATE TEP/TDM OT - 68Ga-Dotatate PET/CT OT - MEN1 OT - NEM1 OT - Neuroendocrine OT - Pancreas OT - Pancreas EDAT- 2020/01/27 06:00 MHDA- 2020/09/09 06:00 CRDT- 2020/01/27 06:00 PHST- 2019/06/21 00:00 [received] PHST- 2019/11/01 00:00 [revised] PHST- 2019/11/16 00:00 [accepted] PHST- 2020/01/27 06:00 [pubmed] PHST- 2020/09/09 06:00 [medline] PHST- 2020/01/27 06:00 [entrez] AID - S0003-4266(19)30235-5 [pii] AID - 10.1016/j.ando.2019.11.001 [doi] PST - ppublish SO - Ann Endocrinol (Paris). 2020 Feb;81(1):39-43. doi: 10.1016/j.ando.2019.11.001. Epub 2019 Dec 16.