Successful palliative peptide receptor radionuclide therapy for impending compression of vena cava due to unresectable liver metastasis of neuroendocrine tumor

Authors

  • Bahar Ataeinia Department of Nuclear Medicine, University Hospital RWTH Aachen, Aachen, Germany; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  • Christina Loberg Department of Nuclear Medicine, University Hospital RWTH Aachen, Aachen, Germany
  • Hanna Kravets Department of Nuclear Medicine, University Hospital RWTH Aachen, Aachen, Germany
  • Mohsen Beheshti Department of Nuclear Medicine, University Hospital RWTH Aachen, Aachen, Germany
  • Dirk von Mallek Department of Nuclear Medicine, University Hospital RWTH Aachen, Aachen, Germany
  • Felix M. Mottaghy Department of Nuclear Medicine, University Hospital RWTH Aachen, Aachen, Germany; Department of Radiology and Nuclear Medicine, Maastricht University Medical Center, Maastricht, The Netherlands
  • Alexander Heinzel Department of Nuclear Medicine, University Hospital RWTH Aachen, Pauwelsstrasse 30, 52074, Aachen, Germany. E-mail: aheinzel@ukaachen.de, Tel: (0049)241 80-88742, Fax: (0049)241 80-82520

DOI:

https://doi.org/10.17179/excli2019-1220

Keywords:

neuroendocrine tumors, metastasis, PRRT, 177Lu-DOTATOC

Abstract

We present the case of a 77 year old male patient with metastatic pancreatic neuroendocrine tumor (NET). The patient was initially treated by extensive surgical resection that however, led to severe complications with delayed recovery. During follow-up, a number of new liver metastases were detected, one of which was in segment I with impending compression of the inferior vena cava. Due to age and general condition of the patient, instead of further surgical treatment, the patient received four cycles of 177Lu-DOTATOC resulting in an overall partial response with successful tumor reduction in liver segment I, resolving an impending compression of vena cava.

Published

2019-05-21

How to Cite

Ataeinia, B., Loberg, C., Kravets, H., Beheshti, M., von Mallek, D., Mottaghy, F. M., & Heinzel, A. (2019). Successful palliative peptide receptor radionuclide therapy for impending compression of vena cava due to unresectable liver metastasis of neuroendocrine tumor. EXCLI Journal, 18, 273–276. https://doi.org/10.17179/excli2019-1220

Issue

Section

Case reports