1 Department of Radiology, Mayo Clinic, Jacksonville, Florida, USA.
2 Department of Head and Neck Surgery, Miami Cancer Institute, Miami, Florida, USA.
Otolaryngol Head Neck Surg. 2018 Aug;159(2):394-397. doi: 10.1177/0194599818772049. Epub 2018 Apr 24.
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.
术中定位无法触及的复发性甲状腺癌已有报道，可采用针定位、术中超声（US）、染料注射和放射性引导手术。我们描述了 3 例残留或复发性甲状腺乳头状癌患者使用放射性种子定位（RSL）的替代技术。该技术在触诊阴性的乳腺癌中已使用多年，已被证明是安全的，与针定位相比，它还与更高的外科医生满意度以及改善的患者耐受性、美容效果和结果相关。此外，RSL 允许放射科和外科手术计划完全解耦。就安全性、患者耐受性和日程安排而言，RSL 在我们的 3 例患者中取得了成功。
