Amino acid extravasation: a rare red flag to keep in mind during peptide receptor radioligand therapy (PRRT) with [177Lu]Lu-DOTATATE

Abstract

A 64 years-old woman with intestinal neuroendocrine tumor (NET) and multiple liver metastases was referred for peptide receptor

radioligand therapy (PRRT) with [177Lu]Lu-DOTATATE. A few days after the third cycle of PRRT, erythema and swelling in the injec- tion site is occurred which progressed up to one-month post-therapy. The cutaneous lesion was managed by a plastic surgeon with topical treatment. Amino acid extravasation could have devastating effects and should always be considered in patients who underwent PRRT and who receive amino acids for nephroprotection.

 

KEY words: NET; PRRT; cutaneous; extravasation; [177Lu]Lu-DOTATATE

Nucl Med Rev 2022; 25, 2:

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آدرس: خيابان وليعصر، بالاتر از بلوار ميرداماد، خيابان رشيد ياسمي، بيمارستان تخصصي و فوق تخصصي خاتم الانبياء(ص)