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Preoperative US-guided hookwire localization for nonpalpable cervical masses
Ji Yeon Park1, Noh Hyuck Park, Seong Yoon Yi
1Department of Radiology, Kwandong University College of Medicine, Myongji Hospital, 697-24 Hwajung-dong, Deokyang-gu, Goyang-si, Gyeonggi-do, South Korea.
Journal of Clinical Ultrasound : JCU
|October 28, 2011
Summary
Ultrasound-guided hookwire localization effectively guides surgeons to nonpalpable cervical masses. This minimally invasive technique ensures accurate lesion identification for improved surgical confidence and outcomes.
Area of Science:
- Radiology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Nonpalpable cervical masses pose a diagnostic and surgical challenge.
- Accurate localization is crucial for effective surgical resection and diagnosis.
Purpose of the Study:
- To evaluate the efficacy of preoperative ultrasound (US)-guided hookwire localization for nonpalpable cervical masses.
- To determine if this technique enhances surgical ease and confidence in locating these lesions.
Main Methods:
- Eight patients with nonpalpable cervical masses underwent US-guided hookwire insertion prior to surgery.
- Masses were initially detected via US or CT; fine-needle aspiration was performed in seven patients.
- A radiologist placed a hookwire into the mass under US guidance before surgical excision.
Main Results:
- Hookwire insertion was successful in all cases, taking 5-10 minutes without complications.
- Pathologic findings included metastatic papillary thyroid cancer (4), no metastasis (1), parathyroid adenoma (1), tuberculosis (1), and Kikuchi's disease (1).
Conclusions:
- Preoperative US-guided hookwire insertion is an effective method for localizing nonpalpable cervical lesions.
- This technique provides surgeons with a reliable tool for precise lesion identification.
