Figure 22.
Diagnosed patient of invasive paraganglioma of carotid body, Mib-1 index 10%, the patient underwent excision of right carotid body tumor in 2013 and received post-operative EBRT in 2013. Presented with bony pain and headache in 2016. Patient evaluated for PRRT, the [68Ga]Ga-DOTATATE (B) and FDG PET/CT (A) showed multiple skeletal lesions and lung nodules, following which the patient received 2 cycles of PRRT (C). In 2017 both [68Ga]Ga-DOTATATE (D) and FDG PET/CT show SSTR and FDG avid lesions with no change as compared to baseline-suggesting stable disease (SD) in metastatic paraganglioma with PRRT.