Intense FAPI Uptake in Inflammation May Mask the Tumor Activity of Pancreatic Cancer in 68Ga-FAPI PET/CT

Clin Nucl Med. 2020 Apr;45(4):310-311. doi: 10.1097/RLU.0000000000002914.

Abstract

Contrast CT revealed diffuse enlargement of the pancreas with a suspicious lesion in the uncinate process in a 57-year-old man who presented with jaundice. F-FDG PET/CT showed increased radioactivity in the enlarged pancreas with a nodular lesion with even higher uptake in the uncinate process. To differentiate autoimmune pancreatitis and pancreatic cancer, Ga-FAPI PET/CT was performed. It revealed intense Ga-FAPI uptake in the pancreas, but the FDG-avid lesion in the uncinate process was not shown. The patient was finally diagnosed with pancreatic cancer with tumor-induced pancreatitis with endoscopic ultrasonography-guided biopsy.

Publication types

  • Case Reports

MeSH terms

  • Fluorodeoxyglucose F18
  • Humans
  • Inflammation / diagnostic imaging
  • Male
  • Middle Aged
  • Pancreatic Neoplasms / diagnostic imaging*
  • Positron Emission Tomography Computed Tomography*
  • Quinolines*
  • Radiopharmaceuticals*

Substances

  • 68Ga-FAPI
  • Quinolines
  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18