Radioguided occult lesion localization for locally recurrent thyroid carcinoma
| العنوان: | Radioguided occult lesion localization for locally recurrent thyroid carcinoma |
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| المؤلفون: | Niyazi Karaman, Gokhan Giray Akgul, Mehmet Ali Gulcelik, Yavuz Selim Kahraman, Gulin Ucmak Vural, Lutfi Dogan, Ilgin Sahiner |
| المصدر: | European Archives of Oto-Rhino-Laryngology. 274:2915-2919 |
| بيانات النشر: | Springer Science and Business Media LLC, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Adult, Male, Reoperation, medicine.medical_specialty, medicine.medical_treatment, Preoperative care, 030218 nuclear medicine & medical imaging, Papillary thyroid cancer, Lesion, Thyroid carcinoma, 03 medical and health sciences, 0302 clinical medicine, Preoperative Care, medicine, Humans, Thyroid Neoplasms, Thyroid cancer, Aged, Ultrasonography, business.industry, Thyroidectomy, Neck dissection, General Medicine, Middle Aged, medicine.disease, Occult, Carcinoma, Papillary, Surgery, Surgery, Computer-Assisted, Otorhinolaryngology, Thyroid Cancer, Papillary, 030220 oncology & carcinogenesis, Neck Dissection, Female, Neoplasm Recurrence, Local, medicine.symptom, business |
| الوصف: | 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. |
| تدمد: | 1434-4726 0937-4477 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::045581107e604cca83b9afc90f07031a https://doi.org/10.1007/s00405-017-4563-2 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi.dedup.....045581107e604cca83b9afc90f07031a |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 14344726 09374477 |
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