Revisiting 99mTc-MIBI Radioguided Surgery in Management of TENIS Syndrome.

Clinical Nuclear Medicine
Sarika PrasharBhagwant Rai Mittal

Abstract

Management of patients with thyroglobulin elevated and negative iodine scan is still a challenge with limited options left as the disease stops concentrating iodine. The minimally invasive surgery is the best option for residual/recurrent locoregional disease in postsurgical setup requiring accurate presurgical localization. Intraoperative gamma probe using low-dose tracer has shown its utility in radioguided surgery. The authors present a 46-year-old man with thyroglobulin elevated and negative iodine scan showing FDG-avid left supraclavicular lymph node on whole-body F-FDG PET/CT with physiological uptake on whole-body radioactive iodine scan, where Tc-MIBI radioguided probe helped in carrying out minimally invasive surgery with excision of malignant node.

References

Feb 3, 2007·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·D RubelloM R Pelizzo

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