Detection of bilateral multifocal breast cancer using Tc-99m sestamibi imaging. The role of delayed imaging.

Abstract:

PURPOSE:Early determination that breast cancer is bilateral and multifocal can change therapy strategy and, subsequently, mortality and morbidity rates. The authors present a case with bilateral, multifocal breast cancer detected only by Tc-99m sestamibi imaging. METHODS:Early and delayed Tc-99m sestamibi imaging and dynamic MRI were performed in a patient with a right-sided lesion shown on mammography. RESULTS:Although early Tc-99m sestamibi imaging detected bilateral breast cancer foci, both dynamic MRI and mammography missed the lesion in the left breast. Additional lesions seen on delayed Tc-99m sestamibi images of the left breast, which were initially thought to be benign, completely disappeared after concomitant chemotherapy and radiotherapy, suggesting multifocal malignant lesions in the left breast. CONCLUSION:This case suggests that Tc-99m sestamibi may be useful for detecting bilateral cancer, and delayed imaging may give additional information regarding the possible multifocal nature of the disease.

journal_name

Clin Nucl Med

authors

Derebek E,Balci P,Alanyali H,Kocdor MA,Capa G,Gorken IB,Degirmenci B,Alakavuklar M,Canda T,Durak H

doi

10.1097/00003072-199908000-00009

keywords:

subject

Has Abstract

pub_date

1999-08-01 00:00:00

pages

590-3

issue

8

eissn

0363-9762

issn

1536-0229

journal_volume

24

pub_type

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