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MRI guided needle localization in a patient with recurrence pleomorphic sarcoma and post-operative scarring

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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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Authors and Affiliations

  1. Department of Radiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan

    Ching-Di Chang

  2. Department of Radiology, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Ave, Boston, MA, 02215, USA

    Ching-Di Chang, Jesse Wei & Jim S. Wu

  3. Department of Pathology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

    Jeffrey D. Goldsmith

  4. Department of Orthopedic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA

    Mark C. Gebhardt

Authors
  1. Ching-Di Chang
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  2. Jesse Wei
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  3. Jeffrey D. Goldsmith
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  4. Mark C. Gebhardt
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  5. Jim S. Wu
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Correspondence to Jim S. Wu.

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Chang, CD., Wei, J., Goldsmith, J.D. et al. MRI guided needle localization in a patient with recurrence pleomorphic sarcoma and post-operative scarring. Skeletal Radiol 46, 975–981 (2017). https://doi.org/10.1007/s00256-017-2614-9

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  • DOI: https://doi.org/10.1007/s00256-017-2614-9

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