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KMID : 0602820110170010035
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Korean Journal of Bronchoesophagology
2011 Volume.17 No. 1 p.35 ~ p.39
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Usefulness of Sonography Guided Charcoal Suspension Tattooing in Localization of Cervical Nodal Recurrence after Thyroidectomy: Preliminary Report
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Lee Jong-Cheol
Han Myung-Woul
Lee Jeong-Hyun
Roh Jong-Lyel
Nam Soon-Yuhl
Kim Sang-Yoon
Choi Seung-Ho
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Abstract
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Objectives: The high sensitivity of ultrasound and thyroglobulin determination for follow-up of differentiated thyroid cancer allows early detection of nonpalpable recurrences. Intraoperative localization of these small foci in previously dissected necks is a surgical challenge. We assessed the safety and effectiveness of ultrasound-guided tattooing (US-tattoo) with a charcoal suspension for localizing nonpalpable cervical recurrences after thyroidectomy for thyroid cancer.
Subjects and Methods: Between March 2009 and December 2010, we retrospectively reviewed 19 patients who underwent US-tattoo with injection of a charcoal suspension for recurrent thyroid papillary cancer on central neck compartment after thyroidectomy. All patients underwent the surgical dissection after US-tattoo. The complications and effectiveness of US-tattoo were evaluated.
Results: The technical success rate of US-tattoo for suspicious lesions was 100%. There was no complication with regard to US-tattoo. During surgery, all but one tattooed lesions were detected by surgeons. On final pathologic reports, all recurrence lesions but two cases were successfully removed.
Conclusion: Preoperative US-tattoo is a safe and effective method for successful reoperation of central neck compartment recurrences after thyroidectomy.
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KEYWORD
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Thyroid neoplasm, Recurrence, Charcoal, Ultrasonography, Thyroidectomy, Reoperation
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