New applications of radioguided surgery in oncology

Detalhes bibliográficos
Autor(a) principal: Bitencourt, Almir Galvão Vieira
Data de Publicação: 2009
Outros Autores: Lima, Eduardo Nóbrega Pereira, Pinto, Paula Nicole Vieira, Martins, Eduardo Bruno Lobato, Chojniak, Rubens
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Clinics
Texto Completo: https://www.revistas.usp.br/clinics/article/view/18030
Resumo: OBJECTIVE: To report oncological cases (excluding those related to breast cancer) for which radioguided surgery has been used in combination with the Radioguided Occult Lesion Localization technique. INTRODUCTION: Radioguided surgery enables a surgeon to identify lesions or tissues that have been preoperatively marked with radioactive substances. The Radioguided Occult Lesion Localization technique has been widely used to identify the sentinel lymph node and occult lesions in patients with breast cancer. However, few studies have reported the use of this technique for non-breast cancer pathologies. METHODOLOGY: In all cases, injection of Technecium-99m sulfur colloid was performed, directly inside or near by the suspicious lesion, guided by ultrasound or computed tomography, up to 36 hours prior to the surgical procedure. Intraoperative lesion detection was carried out using a gamma-probe. RESULTS: We report five oncology cases in which preoperative markings of the lesions were carried out using the Radioguided Occult Lesion Localization technique. The patients presented with the following: recurrence of renal cell carcinoma, cervical recurrence of papillary carcinoma of the thyroid, recurrence of retroperitoneal sarcoma, lesions of the popliteal fossa, and recurrence of rhabdomyosarcoma of a thigh. In each case, the lesions that were marked preoperatively were ultimately successfully excised. CONCLUSIONS: Radioguided surgery has proven to be a safe and effective alternative for the management of oncology patients. The Radioguided Occult Lesion Localization technique can be useful in selected cases where suspect lesions may be difficult to identify intraoperatively, due to their dimensions or anatomical location. The procedure allows for more conservative excisions and reduces the surgery-related morbidity.
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spelling New applications of radioguided surgery in oncology Radioguided surgeryRadioguided occult lesion localizationGamma-detecting probeSurgical OncologyTechnetium Tc 99m Sulfur Colloid OBJECTIVE: To report oncological cases (excluding those related to breast cancer) for which radioguided surgery has been used in combination with the Radioguided Occult Lesion Localization technique. INTRODUCTION: Radioguided surgery enables a surgeon to identify lesions or tissues that have been preoperatively marked with radioactive substances. The Radioguided Occult Lesion Localization technique has been widely used to identify the sentinel lymph node and occult lesions in patients with breast cancer. However, few studies have reported the use of this technique for non-breast cancer pathologies. METHODOLOGY: In all cases, injection of Technecium-99m sulfur colloid was performed, directly inside or near by the suspicious lesion, guided by ultrasound or computed tomography, up to 36 hours prior to the surgical procedure. Intraoperative lesion detection was carried out using a gamma-probe. RESULTS: We report five oncology cases in which preoperative markings of the lesions were carried out using the Radioguided Occult Lesion Localization technique. The patients presented with the following: recurrence of renal cell carcinoma, cervical recurrence of papillary carcinoma of the thyroid, recurrence of retroperitoneal sarcoma, lesions of the popliteal fossa, and recurrence of rhabdomyosarcoma of a thigh. In each case, the lesions that were marked preoperatively were ultimately successfully excised. CONCLUSIONS: Radioguided surgery has proven to be a safe and effective alternative for the management of oncology patients. The Radioguided Occult Lesion Localization technique can be useful in selected cases where suspect lesions may be difficult to identify intraoperatively, due to their dimensions or anatomical location. The procedure allows for more conservative excisions and reduces the surgery-related morbidity. Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2009-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/1803010.1590/S1807-59322009000500005Clinics; Vol. 64 No. 5 (2009); 397-402 Clinics; v. 64 n. 5 (2009); 397-402 Clinics; Vol. 64 Núm. 5 (2009); 397-402 1980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/18030/20095Bitencourt, Almir Galvão VieiraLima, Eduardo Nóbrega PereiraPinto, Paula Nicole VieiraMartins, Eduardo Bruno LobatoChojniak, Rubensinfo:eu-repo/semantics/openAccess2012-05-22T18:52:07Zoai:revistas.usp.br:article/18030Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2012-05-22T18:52:07Clinics - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv New applications of radioguided surgery in oncology
title New applications of radioguided surgery in oncology
spellingShingle New applications of radioguided surgery in oncology
Bitencourt, Almir Galvão Vieira
Radioguided surgery
Radioguided occult lesion localization
Gamma-detecting probe
Surgical Oncology
Technetium Tc 99m Sulfur Colloid
title_short New applications of radioguided surgery in oncology
title_full New applications of radioguided surgery in oncology
title_fullStr New applications of radioguided surgery in oncology
title_full_unstemmed New applications of radioguided surgery in oncology
title_sort New applications of radioguided surgery in oncology
author Bitencourt, Almir Galvão Vieira
author_facet Bitencourt, Almir Galvão Vieira
Lima, Eduardo Nóbrega Pereira
Pinto, Paula Nicole Vieira
Martins, Eduardo Bruno Lobato
Chojniak, Rubens
author_role author
author2 Lima, Eduardo Nóbrega Pereira
Pinto, Paula Nicole Vieira
Martins, Eduardo Bruno Lobato
Chojniak, Rubens
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Bitencourt, Almir Galvão Vieira
Lima, Eduardo Nóbrega Pereira
Pinto, Paula Nicole Vieira
Martins, Eduardo Bruno Lobato
Chojniak, Rubens
dc.subject.por.fl_str_mv Radioguided surgery
Radioguided occult lesion localization
Gamma-detecting probe
Surgical Oncology
Technetium Tc 99m Sulfur Colloid
topic Radioguided surgery
Radioguided occult lesion localization
Gamma-detecting probe
Surgical Oncology
Technetium Tc 99m Sulfur Colloid
description OBJECTIVE: To report oncological cases (excluding those related to breast cancer) for which radioguided surgery has been used in combination with the Radioguided Occult Lesion Localization technique. INTRODUCTION: Radioguided surgery enables a surgeon to identify lesions or tissues that have been preoperatively marked with radioactive substances. The Radioguided Occult Lesion Localization technique has been widely used to identify the sentinel lymph node and occult lesions in patients with breast cancer. However, few studies have reported the use of this technique for non-breast cancer pathologies. METHODOLOGY: In all cases, injection of Technecium-99m sulfur colloid was performed, directly inside or near by the suspicious lesion, guided by ultrasound or computed tomography, up to 36 hours prior to the surgical procedure. Intraoperative lesion detection was carried out using a gamma-probe. RESULTS: We report five oncology cases in which preoperative markings of the lesions were carried out using the Radioguided Occult Lesion Localization technique. The patients presented with the following: recurrence of renal cell carcinoma, cervical recurrence of papillary carcinoma of the thyroid, recurrence of retroperitoneal sarcoma, lesions of the popliteal fossa, and recurrence of rhabdomyosarcoma of a thigh. In each case, the lesions that were marked preoperatively were ultimately successfully excised. CONCLUSIONS: Radioguided surgery has proven to be a safe and effective alternative for the management of oncology patients. The Radioguided Occult Lesion Localization technique can be useful in selected cases where suspect lesions may be difficult to identify intraoperatively, due to their dimensions or anatomical location. The procedure allows for more conservative excisions and reduces the surgery-related morbidity.
publishDate 2009
dc.date.none.fl_str_mv 2009-05-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/clinics/article/view/18030
10.1590/S1807-59322009000500005
url https://www.revistas.usp.br/clinics/article/view/18030
identifier_str_mv 10.1590/S1807-59322009000500005
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/clinics/article/view/18030/20095
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
publisher.none.fl_str_mv Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo
dc.source.none.fl_str_mv Clinics; Vol. 64 No. 5 (2009); 397-402
Clinics; v. 64 n. 5 (2009); 397-402
Clinics; Vol. 64 Núm. 5 (2009); 397-402
1980-5322
1807-5932
reponame:Clinics
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Clinics
collection Clinics
repository.name.fl_str_mv Clinics - Universidade de São Paulo (USP)
repository.mail.fl_str_mv ||clinics@hc.fm.usp.br
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