Thomassen A, Nielsen AL, Petersen H, Himmelstrup BM, Høilund-Carlsen PF. [Enteropathy associated T cell lymphoma mimicking an ACTH producing neuroendocrine tumour].
Ugeskr Laeger 2012;
174:1093-1094. [PMID:
22510551]
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Abstract
We present a case of enteropathy associated T cell lymphoma mimicking an ACTH producing neuroendocrine tumour of the pancreas and duodenum on PET/CT because of symmetrical FDG avidity in the bilateral adrenal hyperplasia. Functional imaging with 18F-FDG PET depicts tumour metabolism, but may also visualise secondary endocrine hypersecretion. Therefore, as always, it is mandatory to perform a biopsy to ascertain the final diagnosis. The cause of FDG avidity in the adrenal hyperplasia was not found, but believed to be caused by a ''non-ACTH-mediated stimulant'' as reported earlier.
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