Abstract
A75-year-old male patient with suspicious cervical lymph nodes in levelIV on the left side is presented. The cervical mass was detected in PSMA-PET-MRI as part of arestaging examination conducted due to an increase of PSA levels in the context of the patient's known prostate cancer. We conducted aselective cervical levelIV lymphadenectomy with the aid of agamma probe subsequent to radiolabelling with 99mTc-PSMA. Two visibly enlarged lymph nodes with high gamma probe signals could be extracted. Histopathological examination revealed lymph node metastases of the known prostate cancer. Using an adequate tracer radio-guided surgery helps to detect pathological lymph nodes in the head and neck region allowing for supraselective resection.
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