| CASE REPORT |
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| Year : 2018 | Volume
: 33
| Issue : 4 | Page : 348-350 |
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Multiple cutaneous metastases on 99mTC-HYNIC-TOC scan in a rare case of malignant laryngeal paraganglioma
Gowri Sankar1, Vishnukumar Rajaraman1, Rajesh Nachiappa Ganesh2, Dhanapathi Halanaik1, Nandini Pandit1, Madhusudhanan Ponnusamy1
1 Department of Nuclear Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
2 Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
Correspondence Address:
Madhusudhanan Ponnusamy
Department of Nuclear Medicine, Ground Floor, Super Speciality Block, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry - 605 006
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijnm.IJNM_54_18
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Laryngeal paraganglioma is a rare neuroendocrine tumor arising from neural crest cells of larynx, contributing to 0.6% of the laryngeal tumors. Patients usually present with compressive symptoms such as hoarseness of voice. These tumors express somatostatin receptors, which can be imaged with radioligands such as 99mTc labeled hydrazinonicotinyl-Tyr3-octreotide (HYNIC-TOC). The percentage of malignant transformation in laryngeal paraganglioma is 2%, and they usually metastasize to lymph nodes, bone, and liver. Here, we report a 99mTc HYNIC-TOC scan of a 55-year-old male patient with recurrent laryngeal paraganglioma, who presented with painful multiple metastatic cutaneous nodules.
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