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Paraneoplastic ocular sarcoidosis in the setting of recurrent rectal carcinoid tumor diagnosed by F18-fluorodeoxyglucose PET CT

Elizabeth D. Marlow, M.D., Lisa J. Faia, M.D., Dafang Wu, M.D., Ph.D. and 2 more

American Journal of Ophthalmology Case Reports · 2020

doi:10.1016/j.ajoc.2020.100887 (opens in a new tab)

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Abstract

Purpose: Nuclear medicine imaging can provide a noninvasive means of distinguishing inflammatory mass lesions from oncologic intraocular tumors. Observation: We report a case of paraneoplastic ocular sarcoidosis with choroidal mass lesions that was initially concerning for choroidal metastasis of a primary carcinoid tumor. PET CT was utilized with two different tracers to characterize the choroidal mass as being FDG-avid, consistent with a sarcoid-like lesion, and lacking the Gallium (Ga-68) DOTATAE uptake of carcinoid tumor metastases. Conclusions and Importance: Functional imaging is valuable to distinguish clinically similar inflammatory verses oncologic intraocular pathology.

Abstract licence: CC BY-NC

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