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Preoperative Detection of Sentinel Lymph Nodes in Endometrial Cancer Using SPECT/CT

Sawicki, Sambor MD, PhD*; Kobierski, Juliusz MD, PhD*; Lass, Piotr MD, PhD†‡; Cytawa, Wojciech MD; Wydra, Dariusz MD, PhD*

doi: 10.1097/RLU.0b013e31829a0124
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Abstract: We report the use of SPECT/CT in sentinel lymph node biopsy in endometrial cancer. The patient was a 54-year-old woman with the diagnosis of endometrial adnenocarcinoma, grade 2. Preoperative MRI and transvaginal ultrasound scans revealed tumor infiltrating more than 50% of the myometrium. The patient was qualified for total abdominal hysterectomy, bilateral salpingo-oophorectomy, and pelvic/paraaortic lymphadenectomy. Before the surgery, 2 cervical injections of the 99mTc-labeled nanocolloid (0.5 mCi) were administered and the SPECT/CT was performed using a standard dual-head gamma camera and a 6-slice spiral CT component.

From the Departments of *Gynecology, Gynecologic Oncology and Gynecologic Endocrinology, and †Nuclear Medicine, Medical University of Gdańsk; and ‡Institute of Experimental Physics, University of Gdańsk, Gdańsk, Poland.

Received for publication April 27, 2012; and revision accepted April 16, 2013.

Conflicts of interest and sources of funding: none declared.

Reprints: Sawicki Sambor, MD, PhD, Department of Gynecology, Gynecologic Oncology and Gynecologic Endocrinology, Medical University of Gdańsk, ul. Kliniczna 1 A, 80-402 Gdańsk, Poland. E-mail: sambor@gumed.edu.pl.

© 2013 by Lippincott Williams & Wilkins