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Updated: Aug 9, 2026
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Computer-Aided Three-Dimensional Visualization in the Treatment of Locally Advanced Thyroid Cancer
Published on: June 9, 2023
Radioguided occult lesion localization for locally recurrent thyroid carcinoma
Mehmet Ali Gulcelik1, Niyazi Karaman2, Lutfi Dogan1
1Department of General Surgery, Ankara Oncology Training and Research Hospital, Angora Evleri Ressamlar Caddesi F6 Blok No 8, Beysukent, 06800, Ankara, Turkey.
Summary
This study shows that preoperative mapping and radioguided occult lesion localization (ROLL) improve safety during reoperations for recurrent papillary thyroid cancer. These techniques help precisely locate and remove malignant lesions in the neck, enhancing patient comfort.
Area of Science:
- Oncology
- Surgical Oncology
- Nuclear Medicine
Background:
- Papillary thyroid cancer recurrence often requires reoperation.
- Accurate localization of metastatic lesions is crucial for successful surgical outcomes.
- Minimally invasive techniques can improve patient safety and comfort during complex neck dissections.
Purpose of the Study:
- To evaluate the efficacy of preoperative ultrasonographic mapping combined with radioguided occult lesion localization (ROLL) in reoperations for recurrent papillary thyroid cancer.
- To assess the impact of these techniques on the detection and removal of locoregional metastases.
- To analyze the safety and patient comfort associated with these advanced localization methods.
Main Methods:
- Retrospective analysis of 20 patients with recurrent papillary thyroid cancer undergoing reoperation.
- Preoperative ultrasonographic mapping and radioguided occult lesion localization (ROLL) were employed.
- Detailed recording of marked and non-marked lesions, including metastatic status and precise localization.
Main Results:
- 85% (34/40) of lesions removed using ROLL were malignant.
- 64% (36/56) of additional suspicious lesions identified and removed were metastatic.
- Postoperative complications were minimal, including one case of chylous leak and seroma.
Conclusions:
- Preoperative mapping and ROLL enhance the precision of reoperations for recurrent papillary thyroid cancer.
- These techniques facilitate the safe and effective removal of metastatic lesions in the neck.
- The combined approach improves patient safety and comfort during planned reoperations.
