Inappropriate cervical injection of radiotracer for sentinel node mapping in a uterine cervix cancer patient: importance of lymphoscintigraphy and blue dye injection

Kadkhodayan, Sima and Hosseini Farahabadi, Elham and Yousefi, Zohreh and Hasanzadeh, Malihe and Sadeghi, Ramin (2014) Inappropriate cervical injection of radiotracer for sentinel node mapping in a uterine cervix cancer patient: importance of lymphoscintigraphy and blue dye injection. Asia Oceania Journal of Nuclear Medicine and Biology, 2 (2). pp. 135-137.

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Abstract

Herein, we report a case of sentinel lymph node mapping in a uterine cervix cancer patient, referring to the nuclear medicine department of our institute. Lymphoscintigraphy images showed inappropriate intra�cervical injection of radiotracer. Blue dye technique was applied for sentinel lymph node mapping, using intra�cervical injection of methylene blue. Two blue/cold sentinel lymph nodes, with no pathological involvement, were intra�operatively identified, and the patient was spared pelvic lymph node dissection. The present case underscores the importance of lymphoscintigraphy imaging in sentinel lymph node mapping and demonstrates the added value of blue dye injection in selected patients. It is suggested that preoperative lymphoscintigraphy imaging be considered as an integral part of sentinel lymph node mapping in surgical oncology. Detailed results of lymphoscintigraphy images should be provided for surgeons prior to surgery, and in case the sentinel lymph nodes are not visualized, use of blue dye for sentinel node mapping should be encouraged.

Item Type: Article
Subjects: WN Radiology . Diagnostic Imaging
Divisions: Journals > Asia Oceania J Nuclear Medicine & Biology
Depositing User: AOJNMB AOJNMB
Date Deposited: 19 Sep 2017 14:03
Last Modified: 19 Sep 2017 14:03
URI: http://eprints.mums.ac.ir/id/eprint/1191

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