Rapid Lymphatic Clearance After Subcutaneous Extravasation of 177 Lu-PSMA-I&T Radioligand Therapy.
Ruben K Fakkert, Bastiaan J van Nierop, Rob van Rooij et al.
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Case in brief
A patient experienced acute swelling and pain in the upper arm following subcutaneous extravasation of 177 Lu-PSMA-I&T during radioligand therapy. Imaging revealed significant radiotracer accumulation, but rapid clearance occurred within 20 hours. Conservative management was effective, with no radiation-induced tissue injury observed, paralleling outcomes seen in similar cases of 177 Lu-PSMA-617 extravasation.
Diagnostic / clinical pearl
Early imaging, such as planar scintigraphy and SPECT/CT, is crucial in assessing the extent of radiopharmaceutical extravasation and estimating absorbed doses.