Related Experiment Video
Updated: May 20, 2026
Multispectral Real-time Fluorescence Imaging for Intraoperative Detection of the Sentinel Lymph Node in Gynecologic Oncology
Published on: October 20, 2010
Intraoperative detection of ganglioneuromas with 123I-MIBG
Leonie Theresia van Hulsteijn1, Bernies van der Hiel, Jan W A Smit
1Department of Endocrinology and Metabolic Diseases, Leiden University Medical Center, Leiden, The Netherlands. L.T.van_Hulsteijn@lumc.nl
Abstract:
Radioactive MIBG can be used in radioguided surgery for neuroendocrine tumors. We report the case of a man with a mutation in the succinate dehydrogenase subunit B (SDHB) gene, in which an abdominal MRI scan identified two 5-mm left para-aortic nodules, suspect for paragangliomas. Subsequent SPECT revealed increased uptake of tracer. 123I MIBG probe-guided resection was scheduled. During surgery, 2 small nodules with elevated activity in between the superior mesenteric artery and the left adrenal gland were identified by the detection probe and were resected. Histopathologic examination revealed mature ganglioneuromas.