Preoperative Localization of Recurrence in the Thyroidectomy Bed Using a Radioactive Iodine125 Seed

Hillary W. Garner; Ricardo Paz-Fumagalli; Geoffrey D. Young

doi:10.1177/0194599818772049

Preoperative Localization of Recurrence in the Thyroidectomy Bed Using a Radioactive Iodine¹²⁵ Seed

Hillary W. Garner, Ricardo Paz-Fumagalli, Geoffrey D. Young

Otolaryngology-Head & Neck Surgery/Audiology

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	394-397
Number of pages	4
Journal	Otolaryngology - Head and Neck Surgery (United States)
Volume	159
Issue number	2
DOIs	https://doi.org/10.1177/0194599818772049
State	Published - Aug 1 2018

Keywords

localization
radioactive
recurrence
seed
thyroid

ASJC Scopus subject areas

Surgery
Otorhinolaryngology

Access to Document

10.1177/0194599818772049

Cite this

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title = "Preoperative Localization of Recurrence in the Thyroidectomy Bed Using a Radioactive Iodine125 Seed",

abstract = "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.",

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