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On-site ultrasound-guided localization for impalpable nodal recurrences in papillary thyroid carcinoma patients

Authors
 Kuk-Jin Kim ; Bup-Woo Kim ; Cheong Soo Park ; Hang-Seok Chang ; Yong Sang Lee 
Citation
 Journal of the Korean Surgical Society, Vol.85(3) : 104~108, 2013 
Journal Title
 Journal of the Korean Surgical Society 
ISSN
 2233-7903 
Issue Date
2013
Abstract
Purpose The cervical lymph nodes are the most common sites of locoregional recurrence in patients with papillary thyroid carcinoma (PTC). Accurate tumor localization is important for the successful removal of impalpable recurrences in the cervical lymph nodes. We evaluated the benefits of ultrasound-guided localization (UGL) performed by a single surgeon on site. Methods Of 53 PTC patients who underwent reoperation for impalpable nodal recurrences, 32 (group 1) were assessed only using preoperative imaging, while 21 (group 2) were additionally evaluated by on-site UGL performed by the operating surgeon. Postoperative outcomes were compared between the two groups. Results Operation times were significantly shorter (P < 0.001) and the mean size of the resected lymph nodes were smaller (P = 0.013) for group 2 patients. More lymph nodes were identified and resected in group 1 (3.56 vs. 3.19), but the rate of positive lymph nodes was significantly higher in group 2 (P < 0.001). There were no differences between the two groups in terms of resection success rate, complication rate, and postoperative hospital stay. During a mean follow-up period of 27.6 months, 52 patients (98.1%) showed no evidence of recurrence on routine ultrasound, and serum thyroglobulin concentrations remained < 1 ng/mL in 49 patients (92.5%). Conclusion On-site UGL performed by the operating surgeon is useful for accurate resection of impalpable nodal recurrences in PTC patients.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/88083
DOI
10.4174/jkss.2013.85.3.104
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Surgery
Yonsei Authors
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