A Case of Nasal Merkel Cell Carcinoma Draining to a Buccinator Sentinel Lymph Node.

Abstract:

:A 73-year-old man diagnosed with Merkel cell carcinoma of the left nasal ala was referred for preoperative scintigraphic sentinel lymph node mapping. In three separate foci around the lesion, 0.2 mCi of Tc-sulfur colloid was intradermally administered. Planar images demonstrated accumulation of tracer midway between the nose and left ear. SPECT/CT images localized radiotracer uptake to the left buccinator/buccal space, consistent with a buccinator lymph node, which is an inconsistent part of the facial lymphatic drainage. This case illustrates the added value of SPECT/CT and 3D reconstruction in sentinel lymph node localization, particularly in the head and neck.

journal_name

Clin Nucl Med

authors

Bermo MS,Leung A,Behnia F

doi

10.1097/RLU.0000000000001351

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

e480-e481

issue

11

eissn

0363-9762

issn

1536-0229

journal_volume

41

pub_type

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