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Preoperative US‐guided hookwire localization for nonpalpable cervical masses
Author(s) -
Yeon Park Ji,
Hyuck Park Noh,
Yoon Yi Seong,
Ko MyungSu,
Jin Park Hee
Publication year - 2012
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20886
Subject(s) - medicine , radiology
Purpose. We investigated whether the preoperative ultrasound (US)‐guided hookwire localization for nonpalpable cervical masses allows surgeons to find these masses more easily and more confidently. Methods. Eight patients underwent preoperative US‐guided hookwire insertion for nonpalpable cervical masses at our institution between January 2008 and January 2011. Cervical masses were detected by US or CT, and seven of the eight patients underwent US‐guided fine‐needle aspiration. Before surgery, a radiologist inserted a hookwire into the cervical mass, under US guidance. Results. US‐guided hookwire insertion took about 5–10 minutes and was successful in all cases without complications. Final pathologic results were metastatic papillary thyroid cancer (n = 4), no metastasis (n = 1), parathyroid adenoma (n = 1), tuberculosis (n = 1), and Kikuchi's disease (n = 1). Conclusions. Preoperative US‐guided hookwire insertion in nonpalpable cervical lesions provides surgeons with an effective means of lesion location. © 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2011