Preoperative Localization of Recurrence in the Thyroidectomy Bed Using a Radioactive Iodine¹²⁵ Seed

Abstract

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.

Técnicas de localización para la escisión quirúrgica guiada de los tumores tiroideos cervicales no palpables

“…En la última década, se ha extendido la utilización de semillas radiactivas en la cirugía de la mama, tanto para localización de tumores no palpables en la mama con gran éxito [40], como para marcar ganglios [41] metastásicos en la axila tras neoadyuvancia (MARI, TAC y RISAS) [41][42][43][44]. Algunos grupos han publicado su utilidad en la localización de otros tumores, como masas no palpables de partes blandas, adenomas de paratiroides, tumores únicos en pulmón [45][46][47] y, recientemente, se ha ampliado su utilidad en la localización de metástasis cervicales en el cáncer de tiroides de distinto origen [48][49][50][51][52][53]. Ver Tabla 1.…”