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Staging of Regional Lymph Nodes in Melanoma Patients by Means of ^99mTc-MIBI Scintigraphy

¹ Nuclear Medicine Center, Clinical Hospital, University of Uruguay, Montevideo, Uruguay
² Dermatology Department, Clinical Hospital, University of Uruguay, Montevideo, Uruguay
³ Medicine Department, Clinical Hospital, University of Uruguay, Montevideo, Uruguay
⁴ Clinical Oncology Department, Clinical Hospital, University of Uruguay, Montevideo, Uruguay
⁵ National Institute of Oncology, Montevideo, Uruguay

View larger version (70K): [in a new window]   FIGURE 1. Anterior thoracic view of patient with T2b melanoma of trunk shows focal 99mTc-MIBI uptake in left axilla (arrow), corresponding to palpable lymphadenopathy that proved to be inflammatory by histology.

View larger version (47K): [in a new window]   FIGURE 2. Anterior image of thorax demonstrates focal area of increased 99mTc-MIBI accumulation in right axilla (arrowhead) in patient with stage II melanoma of trunk. Patient presented with nodal recurrence in same basin 18 mo after scintigraphy. Mask was placed over myocardium.

View larger version (64K): [in a new window]   FIGURE 3. Anterior pelvic view of patient with stage II melanoma of right leg shows focal tracer uptake in right groin (arrowhead). Nodal recurrence developed in same basin 12 mo after 99mTc-MIBI scanning. Mask was placed over bladder.