ABSTRACT
El lugar más frecuente de recidiva del carcinoma papilar de tiroides es en los ganglios cervicales, siendo la cirugía una de las posibilidades terapéuticas. El riesgo quirúrgico para el paciente se incrementa con cada reintervención. Describimos 3 casos de disección cervical radioguiada con semilla de I125 en recidiva de cáncer de tiroides con lesiones no palpables, realizadas entre 2017 y 2019. Dos de los casos habían sido tratados previamente con tiroidectomía total y linfadenectomía del compartimento central. En todos los casos se colocó la semilla guiada mediante ecografía en la lesión sospechosa, comprobando su localización. La tasa de éxito para localizar el nódulo fue del 100%. No hubo complicaciones posquirúrgicas. Con un seguimiento medio de 15 meses no se han descrito recurrencias. La técnica radioguiada con semilla de I125 es segura y ofrece una gran precisión a la hora de localizar lesiones cervicales no palpables en recidivas de cáncer de tiroides
Lymph nodes are the most common place of recurrence of papillary thyroid cancer, and surgery can be considered a therapeutic option. The risks of surgery increase with every intervention. We present 3 cases of cervical non palpable thyroid cancer recurrence managed with I125 seed radioguided cervical dissection from 2017 to 2019. Two of the cases had already a thyroidectomy and central compartment lymphadenectomy performed. The seed was placed guided by US on the lesion and its position was confirmed afterwards. The target was successfully localized in 100% of cases. There was no post surgery complications. There was no evidence of recurrence with a mean follow up of 15 months. Radioguided surgery using I125 seed it is a save technique and it offers a precise localization of the non palpable thyroid cancer recurrence
Subject(s)
Humans , Female , Adult , Middle Aged , Thyroid Cancer, Papillary/diagnostic imaging , Thyroid Cancer, Papillary/surgery , Neoplasm Recurrence, Local/surgery , Iodine Radioisotopes/therapeutic use , Surgery, Computer-Assisted/methods , Thyroid Cancer, Papillary/pathology , Dissection/methods , Thyroidectomy/methodsABSTRACT
Lymph nodes are the most common place of recurrence of papillary thyroid cancer, and surgery can be considered a therapeutic option. The risks of surgery increase with every intervention. We present 3 cases of cervical non palpable thyroid cancer recurrence managed with I125 seed radioguided cervical dissection from 2017 to 2019. Two of the cases had already a thyroidectomy and central compartment lymphadenectomy performed. The seed was placed guided by US on the lesion and its position was confirmed afterwards. The target was successfully localized in 100% of cases. There was no post surgery complications. There was no evidence of recurrence with a mean follow up of 15 months. Radioguided surgery using I125 seed it is a save technique and it offers a precise localization of the non palpable thyroid cancer recurrence.
