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Case Reports
. 2019 Oct;44(10):826-828.
doi: 10.1097/RLU.0000000000002725.

Detection of Uterine Leiomyosarcoma Peritoneal Lesions by SPECT/CT and ROLL Technique

Gianpiero Manca  1 , Ludovico Maria Garau  1 , Antonella Romanini  2 , Domenico Rubello  3 , Amedeo Nuzzo  2 , Linda Barbarello  4 , Lorenzo Fantechi  1 , Patrick M Colletti  5 , Ugo Boggi  4 , Duccio Volterrani  1
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Case Reports

Detection of Uterine Leiomyosarcoma Peritoneal Lesions by SPECT/CT and ROLL Technique

Gianpiero Manca et al. Clin Nucl Med. 2019 Oct.

Abstract

We reported the preoperative radio-guided localization of 4 peritoneal metastatic nodules in the case of a 45-year-old woman with uterine leiomyosarcoma. Three lines of chemotherapy were tried, but cardiotoxicity occurred. Within the context of so-called GOSTT (guided intraoperative scintigraphic tumor targeting), preoperative radio-guided localization of peritoneal metastases enabled their subsequent radio-guided excisional biopsy. SPECT/CT allowed for anatomical localization of the hot lesions and generated a 3-dimensional volume-rendering roadmap, facilitating a surgical approach.

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