array:22 [ "pii" => "S2253808924000351" "issn" => "22538089" "doi" => "10.1016/j.remnie.2024.500019" "estado" => "S300" "fechaPublicacion" => "2024-09-01" "aid" => "500019" "copyright" => "Sociedad Española de Medicina Nuclear e Imagen Molecular" "copyrightAnyo" => "2024" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2024;43:" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "itemAnterior" => array:18 [ "pii" => "S225380892400034X" "issn" => "22538089" "doi" => "10.1016/j.remnie.2024.500018" "estado" => "S300" "fechaPublicacion" => "2024-09-01" "aid" => "500018" "copyright" => "Sociedad Española de Medicina Nuclear e Imagen Molecular" "documento" => "article" "crossmark" => 1 "subdocumento" => "sco" "cita" => "Rev Esp Med Nucl Imagen Mol. 2024;43:" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting images</span>" "titulo" => "Incomplete resection in a rare case of bladder paraganglioma revealed by diuretic <span class="elsevierStyleSup">123</span>I-MIBG SPECT/CT scan" "tienePdf" => "en" "tieneTextoCompleto" => "en" "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Resección incompleta en un raro caso de paraganglioma vesical evidenciado mediante <span class="elsevierStyleSup">123</span>I-MIBG SPECT/TC con diurético" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2360 "Ancho" => 2508 "Tamanyo" => 421436 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleSup">123</span>I-MIBG scintigraphy was performed after thyroid suppression with lugol (usual regimen) at 4 h and 24 h after administration of the radiopharmaceutical, acquiring full body planar images in anterior and posterior projections, and a SPECT/CT study at the pelvic level. Prior to the acquisition of the images, diuretic stimulation was performed by means of the iv injection of 40 mg of furosemide.<span class="elsevierStyleSup">123</span>I-MIBG in planar at 4 h (A), SPECT (B), CT (C) or fusion images (D) without evidence of lesions with avidity for the radiotracer.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Amanda Padilla Bermejo, Javier Gatón Ramírez, Francisco José Pena Pardo, María de las Nieves Sicilia Pozo, María del Prado Talavera Rubio, Víctor Poblete García" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Amanda" "apellidos" => "Padilla Bermejo" ] 1 => array:2 [ "nombre" => "Javier" "apellidos" => "Gatón Ramírez" ] 2 => array:2 [ "nombre" => "Francisco José" "apellidos" => "Pena Pardo" ] 3 => array:2 [ "nombre" => "María de las Nieves" "apellidos" => "Sicilia Pozo" ] 4 => array:2 [ "nombre" => "María del Prado" "apellidos" => "Talavera Rubio" ] 5 => array:2 [ "nombre" => "Víctor" "apellidos" => "Poblete García" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225380892400034X?idApp=UINPBA00004N" "url" => "/22538089/0000004300000005/v1_202409120508/S225380892400034X/v1_202409120508/en/main.assets" ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Interesting images</span>" "titulo" => "<span class="elsevierStyleSup">99m</span>Tc-FAPI uptake in a rare case of metastatic urachal carcinoma" "tieneTextoCompleto" => true "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Pegah Sahafi, Salman Soltani, Kamran Aryana, Atena Aghaee" "autores" => array:4 [ 0 => array:3 [ "nombre" => "Pegah" "apellidos" => "Sahafi" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Salman" "apellidos" => "Soltani" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Kamran" "apellidos" => "Aryana" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 3 => array:4 [ "nombre" => "Atena" "apellidos" => "Aghaee" "email" => array:1 [ 0 => "Aghaeeat@mums.ac.ir" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Urology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Captación de 99m Tc-FAPI en un caso raro de carcinoma de uraco metastásico" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1041 "Ancho" => 2508 "Tamanyo" => 319303 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In the cystoscopy images, the red portion of the mass was identified as tumoral lesion (A, arrowhead). A biopsy was taken from this area, and the pathological sample revealed the presence of well-differentiated urachal adenocarcinoma of enteric type. This particular subtype bears a striking resemblance to primary colorectal carcinomas in terms of morphology (B).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Here, we present the case of a 54-year-old man who was found to have an incidental mass in the right lower quadrant of the abdomen during a recent ultrasonography. Further examination through cystoscopy (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) and biopsy confirmed the presence of well-differentiated, enteric type urachal adenocarcinoma (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). To assess the extent of the disease, an abdominal CT scan was performed. The spiral CT scan revealed a multi-locular cystic mass measuring 102 × 99 × 81 mm, located in the midline of the abdomen near the bladder, with no evidence of distant metastases. Based on these CT scan findings, the patient was admitted for partial cystectomy. Prior to surgery, to further assess the malignancy in a registered clinical trial study, after obtaining informed consent, 99 mTc-FAPI scan was performed under the guidance of a multidisciplinary team. The scan revealed multiple areas of distant metastases in the skull, thoraco-lumbar spine, right scapula, ribs, and pelvic bone (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) (biopsy from this metastatic lesions was not performed). Additionally, the whole body scan showed a photopenic region (black arrow) with a foci of intense uptake adjacent to the right side of the bladder (white arrow), which were consistent with urachal cyst and a component of malignancy in the right posterior side of the bladder (dedicated CT images with soft tissue window are shown in the second row). In the SPECT/CT images, destruction of the left frontal bone and adjacent soft tissue component were observed.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Urachal carcinoma is a rare form of bladder cancer that primarily affects the midline or dome of the bladder. It is believed to develop from the malignant transformation of columnar metaplastic epithelium in the urachus, which may be caused by long-standing inflammation or displaced cloacal epithelium.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Radiolabeled-FAPI imaging using <span class="elsevierStyleSup">99m</span>Tc-labeled fibroblast-activation-protein inhibitor has shown promise in diagnosing and staging various cancers.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Prompt identification of this predominantly adenocarcinoma type of cancer is crucial for appropriate treatment. Surgical removal through partial cystectomy is necessary for patients with removable tumors, and the treatment approach differs from traditional urothelial cancer. In another study, researchers observed incidental FAPI uptake in the urachal remnant. This uptake appeared as a foci of activity concentration between the bladder and umbilical regions, potentially causing false positive results in FAPI-ligand studies.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> This case emphasizes the importance of utilizing FAPI ligand imaging for initial staging in patients diagnosed with urachal cancer and to our knowledge, this study represents the first investigation in evaluation this potentiality.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethics approval</span><p id="par0015" class="elsevierStylePara elsevierViewall">This is a case report study without a specific code of ethics, however, informed consent was obtained from the patient.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Ethics approval" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:8 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1041 "Ancho" => 2508 "Tamanyo" => 319303 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">In the cystoscopy images, the red portion of the mass was identified as tumoral lesion (A, arrowhead). A biopsy was taken from this area, and the pathological sample revealed the presence of well-differentiated urachal adenocarcinoma of enteric type. This particular subtype bears a striking resemblance to primary colorectal carcinomas in terms of morphology (B).</p>" ] ] 1 => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 2021 "Ancho" => 3341 "Tamanyo" => 858232 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The whole body and SPECT/CT images of the patients showed several areas of heightened uptake in the skeleton. The findings included evidence of a lytic metastasis in the L5 vertebra, as well as skull involvement with a soft tissue component.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "National incidence, management and survival of urachal carcinoma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "D.C. Collins" 1 => "K. Velázquez-Kennedy" 2 => "S. Deady" 3 => "A.P. Brady" 4 => "P. Sweeney" 5 => "D.G. Power" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Rare Tumors" "fecha" => "2016" "volumen" => "8" "paginaInicial" => "97" "paginaFinal" => "101" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "<span class="elsevierStyleSup">68</span>Ga-FAPI PET/CT: tracer uptake in 28 different kinds of cancer" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "C. Kratochwil" 1 => "P. Flechsig" 2 => "T. Lindner" 3 => "L. Abderrahim" 4 => "A. Altmann" 5 => "W. Mier" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2967/jnumed.119.227967" "Revista" => array:6 [ "tituloSerie" => "J Nucl Med" "fecha" => "2019" "volumen" => "60" "paginaInicial" => "801" "paginaFinal" => "805" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/30954939" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Incidental focal <span class="elsevierStyleSup">68</span>Ga-FAPI-46 uptake in a urachal remnant: a potential pitfall mimicking a malignant peritoneal lesion" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "P.G. Maliha" 1 => "M. Jafarvard" 2 => "J. Czernin" 3 => "J. Calais" 4 => "M. Hotta" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.2967/jnumed.122.265029" "Revista" => array:5 [ "tituloSerie" => "J Nucl Med" "fecha" => "2023" "volumen" => "64" "paginaInicial" => "992" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/36581376" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22538089/0000004300000005/v1_202409120508/S2253808924000351/v1_202409120508/en/main.assets" "Apartado" => array:4 [ "identificador" => "47121" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Interesting image" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22538089/0000004300000005/v1_202409120508/S2253808924000351/v1_202409120508/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2253808924000351?idApp=UINPBA00004N" ]
Journal Information
Interesting images
99mTc-FAPI uptake in a rare case of metastatic urachal carcinoma
Captación de 99m Tc-FAPI en un caso raro de carcinoma de uraco metastásico