Monitoring and Handing of 89Sr Injection Site Extravasation in a Patient With Breast Cancer. (July 2020)

• Record Type: Journal Article
• Authors: Tang, Jiali; Fu, Xiaolin; Hu, Yishu; Zhang, Yiyuan; Shao, Fuqiang
• Is Part Of: Clinical nuclear medicine. Volume 45:Number 7(2020)
• Publication Date: 2020-07
• Subjects: 89Sr -- extravasation -- intravenous injection -- interventional approaches; Nuclear medicine -- Periodicals; Radioisotope scanning -- Periodicals; Nuclear Medicine -- Periodicals; 616.07575
• DOI: 10.1097/RLU.0000000000003049
• Languages: English
• ISSNs: 0363-9762

Abstract

Abstract : Abstract: Extravasation of various imaging tracers during administration was not a rare complication during nuclear medicine practice. However, the occurrence of extravasation of therapeutic radiopharmaceutical was rarely reported. Here we reported a 60-year-old woman with breast cancer and diffuse painful bone metastases who received strontium chloride ( 89 SrCl2 ) therapy to palliate her bone pain. Accidental subcutaneous extravasation in the injection site occurred. The extravasated 89 Sr was absorbed rapidly by arm elevation, squeezing a stress ball, local warming, and gently massaging. Follow-up results showed the patient's bone pain significantly relieved and her right arm remained normal.