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Role of charcoal tattooing in localization of recurred papillary thyroid carcinoma: initial experiences

Title
Role of charcoal tattooing in localization of recurred papillary thyroid carcinoma: initial experiences
Authors
Kwon, HyungjuTae, Soon YoungKim, Su-JinJung, Kyeong CheonKim, Ji-HoonLee, Kyu EunYoun, Yeo-Kyu
Ewha Authors
권형주
SCOPUS Author ID
권형주scopus
Issue Date
2015
Journal Title
ANNALS OF SURGICAL TREATMENT AND RESEARCH
ISSN
2288-6575JCR Link

2288-6796JCR Link
Citation
ANNALS OF SURGICAL TREATMENT AND RESEARCH vol. 88, no. 3, pp. 140 - 144
Keywords
Thyroid neoplasmsCharcoalTattooingReoperationRecurrence
Publisher
KOREAN SURGICAL SOCIETY
Indexed
SCIE; SCOPUS; KCI WOS
Document Type
Article
Abstract
Purpose: Surgical excision it the definitive treatment for localized recurrence of papillary thyroid carcinoma. Reoperation for recurrence, however, is challenging and associated with increased operative times and complication rates. For safe and effective reoperation, ultrasound-guided charcoal tattooing localization can be used. The aim of this study was to investigate the feasibility and safety of the ultrasound-guided charcoal tattooing localization. Methods: Between November 2012 and August 2013, ten patients underwent preoperative charcoal tattooing localization for twelve recurrent lesions. Patient demographics, pathologic features, and operation results were reviewed. Results: The technical success rate of charcoal tattooing was 100%. Eight patients had one recurrent lesion, and two patients had double lesions. Among these 12 recurrent lesions, three 125%) were found in level II, four (33%) in level IV, four (33%) in level VI, and one (8%) was found in the thyroidectomy bed site. The mean size of lesions was 0.87 +/- 0.35 cm. Of these 10 patients, eight patients underwent selective lymph node dissection, one patient underwent modified radical neck dissection, and one patient underwent recurrent mass excision. Transient hypocalcemia developed in one patient, and no recurrent laryngeal nerve palsy occurred. There were no major complications related to the injection of the charcoal. The mean follow-up period after reoperation was 8.6 +/- 2.7 months; in the follow-up ultrasound, there were no remnant lesions in all patients. Conclusion: Preoperative ultrasound-guided charcoal tattooing localization for recurrent thyroid cancer appears to be a feasible and safe procedure for reoperation. Further evaluation is warranted in larger patients' cohorts.
DOI
10.4174/astr.2015.88.3.140
Appears in Collections:
의과대학 > 의학과 > Journal papers
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