Rapid Lymphatic Clearance After Subcutaneous Extravasation of 177 Lu-PSMA-I&T Radioligand Therapy.

Clin Nucl MedJun 29, 2026 (epub)

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.

Source

Published in Clin Nucl Med. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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