Preoperative Localization of Recurrence in the Thyroidectomy Bed Using a Radioactive Iodine 125 Seed.

Autor: Garner HW; 1 Department of Radiology, Mayo Clinic, Jacksonville, Florida, USA., Paz-Fumagalli R; 1 Department of Radiology, Mayo Clinic, Jacksonville, Florida, USA., Young GD; 2 Department of Head and Neck Surgery, Miami Cancer Institute, Miami, Florida, USA.
Jazyk: angličtina
Zdroj: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [Otolaryngol Head Neck Surg] 2018 Aug; Vol. 159 (2), pp. 394-397. Date of Electronic Publication: 2018 Apr 24.
DOI: 10.1177/0194599818772049
Abstrakt: Intraoperative localization of nonpalpable recurrent thyroid cancer has been reported using needle localization, intraoperative ultrasound (US), dye injection, and radio-guided surgery. We describe the alternative technique of radioactive seed localization (RSL) in 3 patients with residual or recurrent papillary thyroid cancer. This technique has been used for many years in the setting of nonpalpable breast cancer, where it has been shown to be safe and has been associated with greater surgeon satisfaction as well as improved patient tolerability, cosmesis, and outcomes compared to needle localization. In addition, RSL allows complete decoupling of the radiology and surgery schedules. RSL was successful in our 3 patients with regard to safety, patient tolerability, and scheduling.
Databáze: MEDLINE