title: Utility of SPECT/CT in Sentinel Lymph Node Detection in a Case of Vulvar Carcinoma.
abstract: Minimally invasive sentinel node biopsy is associated with significantly less morbidity and has been evaluated in several studies in patients with gynecologic malignancies. Accurate identification of the sentinel lymph nodes is possible in most of the patients. Hybrid SPECT/CT is a newer modality which has been shown to improve the localization of the suspicious lesions and also provide anatomical information of the involved lymph nodes. We report the utility of hybrid SPECT/CT in localization of sentinel lymph node in a case of vulvar cancer and its impact on patient management.
  
  
  BACKGROUND
  None declared.
authors.affiliation: Postgraduate Institute of Medical Education and Research, Nuclear Medicine and PET, Chandigarh, India.
authors.forename: Chidambaram Natrajan
authors.initials: CN
authors.lastname: Balasubramanian Harisankar
authors.affiliation: Postgraduate Institute of Medical Education and Research, Nuclear Medicine and PET, Chandigarh, India.
authors.forename: Bhagwant Rai
authors.initials: BR
authors.lastname: Mittal
authors.affiliation: Postgraduate Institute of Medical Education and Research, Nuclear Medicine and PET, Chandigarh, India.
authors.forename: Anish
authors.initials: A
authors.lastname: Bhattacharya
authors.affiliation: Postgraduate Institute of Medical Education and Research, Obstetrics and Gynaecology, Chandigarh, India.
authors.forename: Lakhbir Kaur
authors.initials: LK
authors.lastname: Dhaliwal
keywords: Computeized Tomography; Sentinel lymph node biopsy; Single –Photon Emission Computerized Tomography; Vulvar cancer; X ray; lymphoscintigraphy