SLNs | Lymphatic drainage | ||||||
Patient | Dose* (MBq) | Scan 1 | Scan 2 | Second-echelon nodes | Classic | Aberrant | Nonlymphatic |
SPECT 1 | 82.6 | L external iliac, L common iliac | L external iliac, L common iliac | Retroperitoneal (paraaortic) | Yes | No | No |
SPECT 2 | 31.0 | R internal iliac | R internal iliac, L internal iliac (probable) | Yes | No | No | |
SPECT 3 | 19.9 | R external iliac | R external iliac | R common iliac | Yes | No | No |
PET 1 | 16.1 | R internal iliac, L perivesical, L internal iliac, L external iliac (probable) | R internal iliac, L perivesical | Yes | Yes | No | |
PET 2 | 8.7 | L internal iliac, L anterior periprostatic into L inferior pubic ramus | L internal iliac, L anterior periprostatic into L inferior pubic ramus | L internal iliac 2 | Yes | No | Yes |
PET 3 | 21.0 | L periprostatic | L periprostatic, R periprostatic | Yes | No | No | |
PET 4 | 11.2 | R mesorectal, L external iliac | R mesorectal, L external iliac | R presacral | Yes | Yes | No |
PET 5 | 3.1 | L internal iliac, L inguinal | L internal iliac (disappears), L inguinal | L common iliac, distal thoracic duct (Virchow node) | Yes | Yes | No |
↵* Injected dose of 99mTc-radiocolloid for SPECT and 68Ga-nanocolloid for PET.
SLNs were found both in classic sites of regional spread and in aberrant sites (boldface font). First 3 patients underwent 99mTc-radiocolloid SPECT/CT, and next 5 underwent 68Ga-nanocolloid PET/CT. Scans were obtained about 45 and 100 min after tracer injection.