A Case with <sup>68</sup>Ga-FAPI Positive and <sup>18</sup>F-FDG Negative Breast Cancer
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P: 201-204
October 2021

A Case with 68Ga-FAPI Positive and 18F-FDG Negative Breast Cancer

Mol Imaging Radionucl Ther 2021;30(3):201-204
1. University of Health Sciences Turkey, Gazi Yaşargil Training and Research Hospital, Clinic of Nuclear Medicine, Diyarbakır, Turkey
2. University of Health Sciences Turkey, Gazi Yaşargil Training and Research Hospital, Clinic of Pathology, Diyarbakır, Turkey
No information available.
No information available
Received Date: 18.05.2021
Accepted Date: 08.07.2021
Publish Date: 15.10.2021
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ABSTRACT

A female patient diagnosed of infiltrative breast carcinoma using tru-cut biopsy underwent 18flourine-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT) for staging. The tumor was located in the superior external quadrant of the right breast, and did not exhibit pathological uptake in 18F-FDG PET/CT. Later, gallium-68 (68Ga) fibroblast activation protein-specific inhibitor (FAPI)-04 PET/CT imaging was performed and the primary tumor showed intense radiotracer accumulation. This presumes that 68Ga-FAPI PET/CT imaging is superior to 18F-FDG imaging in detecting the primary tumor in breast cancer, thereby suggesting the replacement of FAPI by 18F-FDG in breast-cancer staging in the future.

References

1
Kratochwil C, Flechsig P, Lindner T, Abderrahim L, Altmann A, Mier W, Adeberg S, Rathke H, Röhrich M, Winter H, Plinkert PK, Marme F, Lang M, Kauczor HU, Jäger D, Debus J, Haberkorn U, Giesel FL. 68Ga-FAPI PET/CT: Tracer Uptake in 28 Different Kinds of Cancer. J Nucl Med 2019;60:801-805.
2
Chen H, Pang Y, Wu J, Zhao L, Hao B, Wu J, Wei J, Wu S, Zhao L, Luo Z, Lin X, Xie C, Sun L, Lin Q, Wu H. Comparison of [68Ga]Ga-DOTA-FAPI-04 and [18F] FDG PET/CT for the diagnosis of primary and metastatic lesions in patients with various types of cancer. Eur J Nucl Med Mol Imaging 2020;47:1820-1832.
3
Pang Y, Zhao L, Chen H. 68Ga-FAPI Outperforms 18F-FDG PET/CT in Identifying Bone Metastasis and Peritoneal Carcinomatosis in a Patient With Metastatic Breast Cancer. Clin Nucl Med 2020;45:913-915.
4
Can C, Gündoğan C, Güzel Y, Kaplan İ, Kömek H. 68Ga-FAPI Uptake of Thyroiditis in a Patient With Breast Cancer. Clin Nucl Med 2021;46:683-685.
5
Gündoğan C, Güzel Y, Can C, Alabalik U, Kömek H. False-Positive 68Ga-Fibroblast Activation Protein-Specific Inhibitor Uptake of Benign Lymphoid Tissue in a Patient With Breast Cancer. Clin Nucl Med 2021;46:e433-e435.
6
Kömek H, Can C, Güzel Y, Oruç Z, Gündoğan C, Yildirim ÖA, Kaplan İ, Erdur E, Yıldırım MS, Çakabay B. 68Ga-FAPI-04 PET/CT, a new step in breast cancer imaging: a comparative pilot study with the 18F-FDG PET/CT. Ann Nucl Med 2021;35:744-752.