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Gulcelik MA, Karaman N, Dogan L, Sahiner I, Akgul GG, Kahraman YS, Vural GU. Radioguided occult lesion localization for locally recurrent thyroid carcinoma. Eur Arch Otorhinolaryngol 2017; 274:2915-2919. [PMID: 28409262 DOI: 10.1007/s00405-017-4563-2] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Accepted: 04/04/2017] [Indexed: 11/28/2022]
Abstract
The aim of this study was to present our experiences with patients operated on for the recurrence of papillary thyroid cancer with the combined use of preoperative ultrasonographic mapping and radioguided occult lesion localization (ROLL). Twenty patients who had already undergone total thyroidectomy and central/lateral neck dissection for papillary thyroid carcinoma were reoperated on due to locoregional metastasis. The patients with proven recurrences and high Tg wash-out levels in cytopathologic aspirates were operated on. For each patient, numbers of marked and non-marked lesions, and the metastatic and total numbers of marked/non-marked and non-mentioned lesions in the maps were recorded. Thirty-four of 40 (85%) lesions removed with ROLL were found to be malignant. In addition to the marked lesions during mapping, 60 additional lesions had been defined as suspicious. Fifty-six of these lesions were found at exact anatomic sites and localizations described and removed. Of 56 lesions, 36 (64%) were found to be metastatic. During postoperative follow-up, chylous leak with spontaneous regression in 7 days and seroma occurred in one patient. Radioguided occult lesion localization and preoperative mapping contribute to the safety and comfort of patients in planned reoperations on lateral and central neck regions.
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Affiliation(s)
- Mehmet Ali Gulcelik
- Department of General Surgery, Ankara Oncology Training and Research Hospital, Angora Evleri Ressamlar Caddesi F6 Blok No 8, Beysukent, 06800, Ankara, Turkey
| | - Niyazi Karaman
- Department of General Surgery, Ankara Oncology Training and Research Hospital, Angora Evleri Ressamlar Caddesi F6 Blok No 8, Beysukent, 06800, Ankara, Turkey.
| | - Lutfi Dogan
- Department of General Surgery, Ankara Oncology Training and Research Hospital, Angora Evleri Ressamlar Caddesi F6 Blok No 8, Beysukent, 06800, Ankara, Turkey
| | - Ilgın Sahiner
- Department of Nuclear Medicine, Ankara Oncology Training and Research Hospital, Ankara, Turkey
| | - Gokhan Giray Akgul
- Department of General Surgery, Ankara Oncology Training and Research Hospital, Angora Evleri Ressamlar Caddesi F6 Blok No 8, Beysukent, 06800, Ankara, Turkey
| | - Yavuz Selim Kahraman
- Department of General Surgery, Ankara Oncology Training and Research Hospital, Angora Evleri Ressamlar Caddesi F6 Blok No 8, Beysukent, 06800, Ankara, Turkey
| | - Gulin Ucmak Vural
- Department of Nuclear Medicine, Ankara Oncology Training and Research Hospital, Ankara, Turkey
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Combination of Preoperative Ultrasonographic Mapping and Radioguided Occult Lesion Localization in Patients With Locally Recurrent/Persistent Papillary Thyroid Carcinoma. Clin Nucl Med 2010; 35:847-52. [DOI: 10.1097/rlu.0b013e3181f48403] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Kang TW, Shin JH, Han BK, Ko EY, Kang SS, Hahn SY, Kim JS, Oh YL. Preoperative Ultrasound-Guided Tattooing Localization of Recurrences After Thyroidectomy: Safety and Effectiveness. Ann Surg Oncol 2009; 16:1655-9. [DOI: 10.1245/s10434-009-0431-7] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2009] [Revised: 02/16/2009] [Accepted: 02/17/2009] [Indexed: 11/18/2022]
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McCoy KL, Yim JH, Tublin ME, Burmeister LA, Ogilvie JB, Carty SE. Same-day ultrasound guidance in reoperation for locally recurrent papillary thyroid cancer. Surgery 2007; 142:965-72. [DOI: 10.1016/j.surg.2007.09.021] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2007] [Revised: 09/05/2007] [Accepted: 09/07/2007] [Indexed: 11/27/2022]
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