Intraoperative Scintigraphy With Portable Gamma Camera for the Localization of Interaortocaval Paraganglioma

Clin Nucl Med. 2021 Nov 1;46(11):e543-e547. doi: 10.1097/RLU.0000000000003717.

Abstract

A 15-year-old adolescent girl diagnosed of interaortocaval paraganglioma with a positive 123I-MIGB SPECT/CT and 1 unsuccessful prior surgery was operated on with the assistance of a handheld gamma camera. Once the lesion was located and removed, 2 images were taken, one of the surgical field (without 123I-MIGB uptake) and another of the tumor ex vivo (with high 123I-MIGB uptake), confirming that the lesion had been satisfactorily excised. This case highlights the use of a portable gamma camera as a useful tool to locate this rare tumor, with a SPECT/CT positive for 123I-MIGB and a difficult anatomical location suspected.

MeSH terms

  • Adolescent
  • Female
  • Gamma Cameras*
  • Humans
  • Paraganglioma* / diagnostic imaging
  • Paraganglioma* / surgery
  • Radionuclide Imaging
  • Single Photon Emission Computed Tomography Computed Tomography