Ces radiol. 2008, 62(1):82-85

-positive ^99mTc-MIBI scintimammography in a patient with a granulomatous breast inflammationCase report

Jiří Doležal¹, Hana Urminská-Klozová²

¹ Oddělení nukleární medicíny LF UK a FN, Hradec Králové

² Radiologická klinika LF UK a FN, Hradec Králové

To present a rare case report about a -positive ^99mTc-MIBI scintimammography in a patient with a granulomatous breast inflammation. 55-years-old woman with positive history of eosinophilous leukaemia and the peripheral stem cells transplantation from HLA identical sister two years ago was examined for a few days persisting palpable breast mass (diameter 6 mm). There were no inflammation symptoms and no pain. The mammography and ultrasound were negative for malignant lesion. The woman underwent scintimammography with ^99mTc-MIBI (740 MBq). There was detected a focus of increased uptake of ^99mTc-MIBI in the right breast on the point of palpable mass. Scintimammography was very suspect for malignant lesion. The suspect palpable breast mass was removed surgically. The granulomatous breast inflammation was observed by histopathology. The scintimammography with ^99mTc-MIBI was a positive for breast malignity. The positive uptake of tumour hot spot radiopharmaceutical ^99mTc-MIBI was observed in granulomatous breast inflammation. The benefit of scintimammography in differential diagnostics of the breast inflammation and malignant lesion is controversial because the increased uptake of ^99mTc-MIBI in both lesions was observed.

Keywords: ^99mTc-MIBI, scintimammography, mastitis

Accepted: December 15, 2007; Published: March 1, 2008  Show citation