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Neurenteric Cyst Diagnosed by Technetium-99m Pertechnetate Sequential Scintigraphy

Institut für Klinische und Experimentelle Nuklearmedizin; und Kinderklinik der Universitätskliniken, Bonn, FRG

Correspondence: For reprints contact: Joachim Kropp, MD, Institut für klinische und experimentelle Nuklearmedizin der Universität Bonn, Sigmund-Freud Straße 25, D-5300 Bonn 1, FRG.

ABSTRACT

Neurenteric cysts are rare congenital anomalies which present as mediastinal tumors associated with vertebra anomalies. Two-thirds of them are lined with gastric mucosa and are potentially life threatening. An exact differential diagnosis is difficult preoperatively but is absolutely necessary because of the grave prognosis if left untreated. We present a case in which [^99MTc]pertechnetate sequential scintigraphy demonstrated gastric mucosa in the cyst and helped to confirm the diagnosis. The scintigraphic findings are correlated with radiologic, sonographic, and pathologic features.