Resection for Recurrent Differentiated Thyroid Cancer with Radioguided Surgery
Keywords:
Neck dissection, thyroid neoplasm, sentinel lymph node biopsyAbstract
During follow up of patients with differentiated thyroid cancer it is possible to find recurrence in the neck in 10% to 60% of cases. During follow up it is requisite to seek out the disease in said location. Consequently, a rigorous search is made with high resolution sonogram, which can most frequently detect early lymphatic node metastasis of scant length in millimeters. If such nodes are detected, neck dis- sections are performed; but where surgery has previously been carried out, extirpation is difficult due to adherence and fibrosis. In order to facilitate these procedures, the ROLL technique (radio-guided-occult-lesion-localization) is recommended as a means for achieving precise and safe resection of these diseased ganglia. This technique was recently put to use for the first time in Colombia at the National Cancer Institute (NCI) by the authors of this paper whose knowledge of the technique allowed them to perform surgery on a patient with papillary thyroid cancer recurrence in the neck.
Author Biographies
Enrique Cadena, Instituto Nacional de Cancerología
Grupo Cirugía de Cabeza y Cuello, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia
Unidad de Otorrinolaringología, Universidad Nacional de Colombia, Bogotá, D.C., Colombia
Faustino Bastidas, Instituto Nacional de Cancerología
Grupo Cirugía Oncológica, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia
Emperatriz Angarita , Instituto Nacional de Cancerología
Grupo Medicina Nuclear, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia
Julián Garzón, Instituto Nacional de Cancerología
Grupo de Radiología, Instituto Nacional de Cancerología, Bogotá, D.C., Colombia
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