Targeted Sacral Biopsy With Portable Gamma Camera and Intraoperative Gamma Probe

A 58-year-old man with dysphagia and trismus symptoms presented a lobulated tumor in the right tonsil and ipsilateral laterocervical stony adenopathies in the physical examination. He had prostate carcinoma as clinical precedent. The tonsilar lesion showed focal FDG uptake (SUV max , 10.89) on PET/C...

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Bibliographic Details
Published in:Clinical nuclear medicine 2024-10, Vol.49 (10), p.e513-e514
Main Authors: Rama Alonso, Sandra, Campaña Díaz, Eva, Blanco Blanco, Juan Francisco, García-Talavera San Miguel, Paloma, Gómez-Caminero López, Felipe
Format: Article
Language:English
Subjects:
Gamma Cameras
Humans
Image-Guided Biopsy
Intraoperative Period
Male
Middle Aged
Positron Emission Tomography Computed Tomography
Sacrum - diagnostic imaging
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Summary:A 58-year-old man with dysphagia and trismus symptoms presented a lobulated tumor in the right tonsil and ipsilateral laterocervical stony adenopathies in the physical examination. He had prostate carcinoma as clinical precedent. The tonsilar lesion showed focal FDG uptake (SUV max , 10.89) on PET/CT and increased glycemic metabolism in the left sacral wing (SUV max , 10.90) without clear morphological lesion in CT. There was also uptake of the tracer in sacrum in the bone scan. Metastatic involvement was suspected, requiring radioguided biopsy to determine the etiology. Due to radioguided biopsy, histological analysis of the metastasis was performed, with epidermoid carcinoma metastasis diagnosis.
ISSN:0363-9762
1536-0229
1536-0229
DOI:10.1097/RLU.0000000000005370