Bowel visualization on the lymphoscintigraphy images of a bladder cancer patient due to inadvertent injection of the tracer in the rectal wall
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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2021-07-01
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| Series: | Asia Oceania Journal of Nuclear Medicine and Biology |
| Subjects: | |
| Online Access: | https://aojnmb.mums.ac.ir/article_17884_c0a2919d91a877eb192a7744f5eafc52.pdf |
| _version_ | 1818656806106300416 |
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| author | Hamidreza Ghorbani Leili Zarifmahmoudi Ramin Sadeghi Salman Soltani Atena Aghaee |
| author_facet | Hamidreza Ghorbani Leili Zarifmahmoudi Ramin Sadeghi Salman Soltani Atena Aghaee |
| author_sort | Hamidreza Ghorbani |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-17T03:31:26Z |
| format | Article |
| id | doaj.art-69ed8fbc1b2c47b3907fbe3b7213a5d8 |
| institution | Directory Open Access Journal |
| issn | 2322-5718 2322-5726 |
| language | English |
| last_indexed | 2024-12-17T03:31:26Z |
| publishDate | 2021-07-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Asia Oceania Journal of Nuclear Medicine and Biology |
| spelling | doaj.art-69ed8fbc1b2c47b3907fbe3b7213a5d82022-12-21T22:05:15ZengMashhad University of Medical SciencesAsia Oceania Journal of Nuclear Medicine and Biology2322-57182322-57262021-07-019217717910.22038/aojnmb.2021.54064.137017884Bowel visualization on the lymphoscintigraphy images of a bladder cancer patient due to inadvertent injection of the tracer in the rectal wallHamidreza Ghorbani0Leili Zarifmahmoudi1Ramin Sadeghi2Salman Soltani3Atena Aghaee4Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, IranNuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, IranNuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, IranKidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad, IranNuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad, IranThe 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.https://aojnmb.mums.ac.ir/article_17884_c0a2919d91a877eb192a7744f5eafc52.pdfsentinel lymph node biopsybladdernuclear medicinespect/ct |
| spellingShingle | Hamidreza Ghorbani Leili Zarifmahmoudi Ramin Sadeghi Salman Soltani Atena Aghaee 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 sentinel lymph node biopsy bladder nuclear medicine spect/ct |
| title | Bowel visualization on the lymphoscintigraphy images of a bladder cancer patient due to inadvertent injection of the tracer in the rectal wall |
| title_full | Bowel visualization on the lymphoscintigraphy images of a bladder cancer patient due to inadvertent injection of the tracer in the rectal wall |
| title_fullStr | Bowel visualization on the lymphoscintigraphy images of a bladder cancer patient due to inadvertent injection of the tracer in the rectal wall |
| title_full_unstemmed | Bowel visualization on the lymphoscintigraphy images of a bladder cancer patient due to inadvertent injection of the tracer in the rectal wall |
| title_short | Bowel visualization on the lymphoscintigraphy images of a bladder cancer patient due to inadvertent injection of the tracer in the rectal wall |
| title_sort | bowel visualization on the lymphoscintigraphy images of a bladder cancer patient due to inadvertent injection of the tracer in the rectal wall |
| topic | sentinel lymph node biopsy bladder nuclear medicine spect/ct |
| url | https://aojnmb.mums.ac.ir/article_17884_c0a2919d91a877eb192a7744f5eafc52.pdf |
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