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: firstname.lastname@example.org.