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MRI Guided Needle Localization in a Patient with Recurrence Pleomorphic Sarcoma and Post-operative Scarring

Overview
Journal Skeletal Radiol
Specialties Orthopedics
Radiology
Date 2017 Mar 11
PMID 28280850
Citations 5
Authors
Ching-Di Chang
Jesse Wei
Jeffrey D Goldsmith
Mark C Gebhardt
Jim S Wu
Affiliations
Soon will be listed here.
Abstract

MRI-guided wire localization is commonly used for surgical localization of breast lesions. Here we introduce an alternative use of this technique to help with surgical resection of a recurrent pleomorphic sarcoma embedded in extensive post-treatment scar tissue. We describe a case of recurrent pleomorphic soft tissue sarcoma in the thigh after treatment with neoadjuvant therapy, surgery, and radiation. Due to the distortion of the normal tissue architecture and formation of extensive scar tissue from prior treatment, wire localization under MRI was successfully used to assist the surgeon in identifying the recurrent tumor for removal.

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