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Published on: April 24, 2016
Transient sialoadenitis: a complication of 131I-metaiodobenzylguanidine therapy
Shakeel Modak1, Neeta Pandit-Taskar, Brian H Kushner
1Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, New York, USA. modaks@mskcc.org
Abstract:
Radioiodinated metaiodobenzylguanidine [(131)I-MIBG] is commonly used to treat resistant neuroblastoma or metastatic pheochromocytoma [MP] with little non-hematopoietic toxicity. We describe here transient sialoadenitis, a previously unreported complication. Ten patients [9 neuroblastoma and 1 MP] received 12-18 mCi/kg of (131)I-MIBG. Five patients had bilateral parotid swelling, two with associated buccal discomfort within 24 hr of injection which subsided within 48 hr. Grade 3 or 4 serum amylase elevation was documented in 8/8 patients tested [median 1,336; range: 576-8,830 U/L] which normalized [25-125 U/L] within 4-14 [median 5.5] days. Serum lipase remained normal. Patients did not develop subsequent dry mouth or dysphagia.
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