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Departments of Nuclear Medicine and Special Endocrinology and Institute of Pathology, Landeskrankenhaus Klagenfurt, Institute of Nuclear Medicine, Krankenanstalt Rudolfstiftung, Vienna, Austria
Correspondence: For correspondence or reprints contact: Peter Lind, MD, Department of Nuclear Medicine and Special Endocrinology, St. Veiterstraße 47, A-9020 Klagenfurt, Austria.
ABSTRACT
The uptake of 99mTc-tetrofosmin in enlarged lymph nodes, of the lung hilus, in the case of sarcoidosis Stage I (histopathologically confirmed by mediastinoscopic biopsy) is demonstrated. On a routine chest radiograph of a 78-yr-old woman, hilar lymphadenopathy was first detected. In the following mammography, disseminated micro calcilications were found in the left breast and a 99mTc-tetrofosmin study was performed for detection of breast cancer. Scintigraphy using 99mTc-tetrofosmin showed clear uptake in the hilar lymph nodes, but not in the left breast The 99mTc-tetrofosmin uptake in the hilar lymph nodes was due to sarcoidosis confirmed by histology. Therefore, 99mTc-tetrofosmin scintigraphy may be useful in patients with suspected sarcoidosis, especially in Stage I.
Key Words: technetium-99m-tetrofosmin hilar lymphadenopathy sarcoidosis Stage I SPECT
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