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Preoperative differentiation of oncocytomas from renal cell carcinoma (RCC) is often challenging. 99m Tc-MIBI imaging could play a potential role in differentiating oncocytoma from RCC, which in turn could guide surgical decision-making. We present the use of 99m Tc-MIBI SPECT/CT to characterize a renal mass in a 66-year-old man with a complex medical history, including history of bilateral oncocytomas. 99m Tc-MIBI SPECT/CT showed features suspicious of a malignant tumor, which was confirmed postnephrectomy as a chromophobe and papillary RCC collision tumor. This case supports 99m Tc-MIBI imaging for preoperative differentiation of benign versus malignant renal tumors. Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Citation

Adil A Ali, Thangalakshmi Sivathapandi, Ritu Gupta, Viraj A Master, Charles Marcus. 99m Tc-MIBI SPECT/CT Evaluation of a Renal Collision Tumor. Clinical nuclear medicine. 2023 Aug 01;48(8):e390-e392

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PMID: 37335313

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