Selective Neck Dissection Guided by a Radioactive I125 Seed for Papillary Thyroid Carcinoma Recurrence

被引:4
作者
Vilar Tabanera, Alberto [1 ]
Ajuria, Odile [2 ]
Eugenia Rioja, Maria [2 ]
Cabanas Montero, Jacobo [1 ]
机构
[1] Hosp Ramon & Cajal, Serv Cirugia Gen & Digest, Secc Cirugia Endocrina, Madrid, Spain
[2] Hosp Ramon & Cajal, Serv Med Nucl, Madrid, Spain
来源
CIRUGIA ESPANOLA | 2020年 / 98卷 / 08期
关键词
Papillary thyroid carcinoma; Radioguided surgery; Recurrent cervical cancer; OCCULT LESION LOCALIZATION; CANCER; MANAGEMENT; REOPERATION;
D O I
10.1016/j.ciresp.2020.04.018
中图分类号
R61 [外科手术学];
学科分类号
摘要
Lymph nodes are the most common place of recurrence of papillary thyroid cancer, and surgery can be considered a therapeutic option. The risks of surgery increase with every intervention. We present 3 cases of cervical non palpable thyroid cancer recurrence managed with I125 seed radioguided cervical dissection from 2017 to 2019. Two of the cases had already a thyroidectomy and central compartment lymphadenectomy performed. The seed was placed guided by US on the lesion and its position was confirmed afterwards. The target was successfully localized in 100% of cases. There was no post surgery complications. There was no evidence of recurrence with a mean follow up of 15 months. Radioguided surgery using I125 seed it is a save technique and it offers a precise localization of the non palpable thyroid cancer recurrence. (C) 2020 AEC. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:478 / 481
页数:4
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