Bowel visualization on the lymphoscintigraphy images of a bladder cancer patient due to inadvertent injection of the tracer in the rectal wall | ||
| Asia Oceania Journal of Nuclear Medicine and Biology | ||
| مقاله 11، دوره 9، شماره 2، مهر 2021، صفحه 177-179 اصل مقاله (804.12 K) | ||
| نوع مقاله: Case report | ||
| شناسه دیجیتال (DOI): 10.22038/aojnmb.2021.54064.1370 | ||
| نویسندگان | ||
| Hamidreza Ghorbani1؛ Leili Zarifmahmoudi2؛ Ramin Sadeghi* 2؛ Salman Soltani1؛ Atena Aghaee2 | ||
| 1Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 2Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| چکیده | ||
| The effectiveness of the sentinel lymph node mapping in patients with Urothelial carcinoma of the bladder is under investigation. Single photon emission computed tomography (SPECT/CT) and intraoperative sentinel node biopsy using gamma probe are performed to detect the exact location of the sentinel lymph node to be dissected during the surgery. In this case report, a 73-year old man with high grad urothelial carcinoma was referred to our nuclear medicine department for SPECT/CT, four hours after injection of the radiotracer through cystoscopy . SPECT/CT could not reveal any sentinel node; however, one sentinel lymph node was detected and harvested in the right external iliac region during surgery. SPECT/CT revealed unusual accumulation of tracer in large bowel which was due to sever adhesion of rectum and bladder, and inadvertent injection of the radiotracer into the rectal wall . During the sentinel lymph node procedure, the tracer should be injected with extreme caution and lymphoscintigraphy post injection may help detection of any injection failures. | ||
| کلیدواژهها | ||
| Sentinel lymph node biopsy؛ Bladder؛ Nuclear medicine؛ SPECT/CT | ||
| مراجع | ||
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