대한기관식도과학회지 (Korean Journal of Bronchoesophagology)

대한기관식도과학회 (The Korean Bronchoesophagological Society)
권호 표지

갑상선암 수술 후 재발한 경부림프절의 위치 확인에 있어서 초음파 유도하 참숯 현탁액 표식의 유용성: 예비보고

Usefulness of Sonography Guided Charcoal Suspension Tattooing in Localization of Cervical Nodal Recurrence after Thyroidectomy: Preliminary Report

  • 이종철 (울산대학교 의과대학 울산대학교병원 이비인후과학교실) ;
  • 한명월 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 이정현 (울산대학교 의과대학 서울아산병원 영상의학과학교실) ;
  • 노종렬 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 남순열 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 김상윤 (울산대학교 의과대학 서울아산병원 이비인후과학교실) ;
  • 최승호 (울산대학교 의과대학 서울아산병원 이비인후과학교실)
  • Lee, Jong Cheol (Department of Otorhinolaryngology, Ulsan University Hospital, University of Ulsan College of Medicine) ;
  • Han, Myung Woul (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Lee, Jeong Hyun (Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Roh, Jong-Lyel (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Nam, Soon Yuhl (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Sang Yoon (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Choi, Seung-Ho (Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine)
  • 투고 : 2011.05.23
  • 심사 : 2011.06.11
  • 발행 : 2011.06.30
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초록

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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