Document Detail


Changes in the expression of somatostatin receptor imaging following Y-90 lanreotide therapy for carcinoid tumor: a flare response?
MedLine Citation:
PMID:  15764878     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 53-year-old man with In-111 octreotide-positive metastatic hepatic carcinoid was referred for Y-90 lanreotide therapy. A diagnostic In-111 lanreotide scan, performed to assess suitability for therapy, showed less uptake in lesions compared with In-111 octreotide. After 3 therapy doses of Y-90 lanreotide, a repeat In-111 lanreotide scan showed intense uptake in old lesions, appearance of new lesions, and uptake in the spleen. This was associated with improvement in flushing and regression of liver size. Computed tomography scan showed stable disease. Increased expression of somatostatin receptors has been observed with In-111 octreotide but not with In-111 lanreotide. If this is a flare response, then pretreatment with "cold" lanreotide may be beneficial before Y-90 lanreotide therapy.
Authors:
Silvija Popadic; Adil Al-Nahhas; Qais Naili; Jonathan Todd; Karim Meeran
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  30     ISSN:  0363-9762     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-03-14     Completed Date:  2005-06-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  238-40     Citation Subset:  IM    
Affiliation:
Department of Nuclear Medicine, Hammersmith Hospital and Imperial College, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Carcinoid Tumor / metabolism,  radionuclide imaging*,  radiotherapy*,  secondary
Heterocyclic Compounds / therapeutic use*
Humans
Liver Neoplasms / metabolism,  radionuclide imaging*,  radiotherapy*,  secondary
Male
Middle Aged
Octreotide / analogs & derivatives*,  diagnostic use*,  pharmacokinetics
Peptides, Cyclic / therapeutic use*
Radiopharmaceuticals / diagnostic use,  pharmacokinetics,  therapeutic use
Receptors, Somatostatin / metabolism*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Heterocyclic Compounds; 0/Peptides, Cyclic; 0/Radiopharmaceuticals; 0/Receptors, Somatostatin; 0/indium-111-octreotide; 0/yttrium 90-DOTA-lanreotide; 83150-76-9/Octreotide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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