Khandelwal Saurabh, Sener Stephen F, Purdy Lisa, Perlman Reid M
Department of Surgery, Evanston Northwestern Healthcare, Evanston, Illinois 60201, USA.
J Surg Oncol. 2007 Aug 1;96(2):173-5. doi: 10.1002/jso.20814.
The use of a gamma probe for intraoperative localization of a cervical lymph node, which contained recurrent metastatic papillary thyroid cancer, facilitated a radio-guided minimally invasive outpatient surgical procedure and resulted in complete excision of clinically occult disease. The technique raises the issue of whether nonpalpable regional node recurrences should be locally excised, removed in a formal modified neck dissection, or treated with therapeutic doses of I-131.
使用γ探头对含有复发性转移性乳头状甲状腺癌的颈部淋巴结进行术中定位，有助于开展放射性引导的微创门诊手术，并实现对临床隐匿性疾病的完整切除。该技术引发了一个问题，即对于不可触及的区域淋巴结复发，是应进行局部切除、行改良根治性颈清扫术，还是用治疗剂量的碘-131进行治疗。
