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Inicio Cirugía Española (English Edition) Selective neck dissection guided by a radioactive I125 seed for papillary thyroi...
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Vol. 98. Issue 8.
Pages 478-481 (October 2020)
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Vol. 98. Issue 8.
Pages 478-481 (October 2020)
Innovation in surgical technique
DOI: 10.1016/j.cireng.2020.09.010
Selective neck dissection guided by a radioactive I125 seed for papillary thyroid carcinoma recurrence
Disección cervical radioguiada con semillas de I125 como tratamiento de la recurrencia de cáncer papilar de tiroides
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Alberto Vilar Tabaneraa,
Corresponding author
alb.vilartabanera@gmail.com

Corresponding author.
, Odile Ajuriab, María Eugenia Riojab, Jacobo Cabañas Monteroa
a Sección de Cirugía Endocrina, Servicio de Cirugía General y Digestivo, Hospital Ramón y Cajal, Madrid, Spain
b Servicio de Medicina Nuclear, Hospital Ramón y Cajal, Madrid, Spain
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Table 1. Characteristics of the 3 Patients With Recurrent Papillary Thyroid Carcinoma.
Abstract

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.

Keywords:
Papillary thyroid carcinoma
Radioguided surgery
Recurrent cervical cancer
Resumen

El lugar más frecuente de recidiva del carcinoma papilar de tiroides es en los ganglios cervicales, siendo la cirugía una de las posibilidades terapéuticas. El riesgo quirúrgico para el paciente se incrementa con cada reintervención. Describimos 3 casos de disección cervical radioguiada con semilla de I125 en recidiva de cáncer de tiroides con lesiones no palpables, realizadas entre 2017 y 2019. Dos de los casos habían sido tratados previamente con tiroidectomía total y linfadenectomía del compartimento central. En todos los casos se colocó la semilla guiada mediante ecografía en la lesión sospechosa, comprobando su localización. La tasa de éxito para localizar el nódulo fue del 100%. No hubo complicaciones posquirúrgicas. Con un seguimiento medio de 15 meses no se han descrito recurrencias. La técnica radioguiada con semilla de I125 es segura y ofrece una gran precisión a la hora de localizar lesiones cervicales no palpables en recidivas de cáncer de tiroides.

Palabras clave:
Carcinoma papilar de tiroides
Cirugía radioguiada
Recurrencia cervical

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