Author/Authors :
Kadkhodayan، Sima نويسنده Women’s Health Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran , , Hosseini Farahabadi، Elham نويسنده Women’s Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran , , Yousefi، Zohreh نويسنده , , Hasanzadeh، Malihe نويسنده Department of Obstetrics and Gynecology, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran; , , Sadeghi، Ramin نويسنده Nuclear Medicine Research Center, Mashhad University of Medical Sciences, Mashhad Sadeghi, Ramin
Abstract :
Herein, we report a case of sentinel lymph node mapping in a uterine cervix cancer patient, referring to the nuclear medicine department of our institute. Lymphoscintigraphy images showed inappropriate intra?cervical injection of radiotracer. Blue dye technique was applied for sentinel lymph node mapping, using intra?cervical injection of methylene blue. Two blue/cold sentinel lymph nodes, with no pathological involvement, were intra?operatively identified, and the patient was spared pelvic lymph node dissection. The present case underscores the importance of lymphoscintigraphy imaging in sentinel lymph node mapping and demonstrates the added value of blue dye injection in selected patients. It is suggested that preoperative lymphoscintigraphy imaging be considered as an integral part of sentinel lymph node mapping in surgical oncology. Detailed results of lymphoscintigraphy images should be provided for surgeons prior to surgery, and in case the sentinel lymph nodes are not visualized, use of blue dye for sentinel node mapping should be encouraged.
