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Postmastectomy/Axillary Node Dissection Chyloma: The Additional Value of SPECT/CT Lymphoscintigraphy
Sue Ping Thang,Aaron Kian Ti Tong,David Chee Eng Ng 한국유방암학회 2014 Journal of breast cancer Vol.17 No.3
After mastectomy and axillary node dissection, chylous leakageis rare. However, considerable anatomical variation in the terminationof the thoracic duct has been reported. Hence, duringbreast surgery, injury to the lateral terminating branch is not unlikelyand might lead to retrograde chyle leak. Herein, we describea patient who had a chylous leakage at her wound site aftera left simple mastectomy and axillary node dissection and forwhom lymphoscintigraphy with Tc-99m albumin nanocolloidwas performed. In this case, additional hybrid single-photonemission computed tomography/computed tomography studywas done, and has helped with the accurate identification of thechyle leakage site, thus aiding in surgical management.
Current Status and Growth of Nuclear Theranostics in Singapore
Hian Liang Huang,Aaron Kian Ti Tong,Sue Ping Thang,Sean Xuexian Yan,Winnie Wing Chuen Lam,Kelvin Siu Hoong Loke,Charlene Yu Lin Tang,Lenith Tai Jit Cheng,Gideon Su Kai Ooi,Han Chung Low,Butch Maulion 대한핵의학회 2019 핵의학 분자영상 Vol.53 No.2
The concept of theranostics, where individual patient-level biological information is used to choose the optimal therapy for that individual, has become more popular in the modern era of ‘personalised’ medicine. With the growth of theranostics, nuclear medicine as a specialty is uniquely poised to grow along with the ever-increasing number of concepts combining imaging and therapy. This special report summarises the status and growth of Theranostic Nuclear Medicine in Singapore.We will cover our experience with the use of radioiodine, radioiodinated metaiodobenzylguanidine, peptide receptor radionuclide therapy, prostate specific membrane antigen radioligand therapy, radium-223 and yttrium-90 selective internal radiation therapy.We also include a section on our radiopharmacy laboratory, crucial to our implementation of theranostic principles. Radionuclide theranostics has seen tremendous growth and we hope to be able to grow alongside to continue to serve the patients in Singapore and in the region.