MRI guided needle localization in a patient with recurrence pleomorphic sarcoma and post-operative scarring

MRI-guided wire localization is commonly used for surgical localization of breast lesions. Here we introduce an alternative use of this technique to help with surgical resection of a recurrent pleomorphic sarcoma embedded in extensive post-treatment scar tissue. We describe a case of recurrent pleom...

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Bibliographic Details
Published in:Skeletal radiology 2017-07, Vol.46 (7), p.975-981
Main Authors: Chang, Ching-Di, Wei, Jesse, Goldsmith, Jeffrey D., Gebhardt, Mark C., Wu, Jim S.
Format: Article
Language:English
Subjects:
Aged
Biopsy, Needle
Breast
Case Report
Combined Modality Therapy
Humans
Image-Guided Biopsy
Imaging
Lesions
Localization
Magnetic resonance imaging
Magnetic Resonance Imaging, Interventional - methods
Male
Medical centers
Medicine
Medicine & Public Health
Neoplasm Grading
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - surgery
Neoplasm Recurrence, Local - therapy
Nuclear Medicine
Orthopedics
Pathology
Radiography, Interventional
Radiology
Sarcoma
Sarcoma - pathology
Sarcoma - surgery
Sarcoma - therapy
Scars
Soft Tissue Neoplasms - pathology
Soft Tissue Neoplasms - surgery
Soft Tissue Neoplasms - therapy
Soft tissue sarcoma
Surgery
Thigh
Tomography, X-Ray Computed
Wire
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Description
Summary:MRI-guided wire localization is commonly used for surgical localization of breast lesions. Here we introduce an alternative use of this technique to help with surgical resection of a recurrent pleomorphic sarcoma embedded in extensive post-treatment scar tissue. We describe a case of recurrent pleomorphic soft tissue sarcoma in the thigh after treatment with neoadjuvant therapy, surgery, and radiation. Due to the distortion of the normal tissue architecture and formation of extensive scar tissue from prior treatment, wire localization under MRI was successfully used to assist the surgeon in identifying the recurrent tumor for removal.
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-017-2614-9