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Cancer screening and surveillance programmes and the use of sophisticated imaging tools such as  positron emission tomography‐computed tomography (PET ‐ CT ) have increased the detection of impalpable lesions requiring imaging guidance for excision. A new technique involves intra‐lesional insertion of a low‐activity iodine‐125 ( 125 I) seed and detection of the radioactive signal in theatre using a hand‐held gamma probe to guide surgery. Whilst several studies describe using this method to guide the removal of impalpable breast lesions, only a handful of publications report its use to guide excision of lesions outside the breast. We describe a case in which radio‐guided occult lesion localisation using an iodine 125 seed was used to guide excision of an impalpable posterior chest wall metastasis detected on  PET ‐ CT .

journal of medical radiation sciences

Radio‐guided occult lesion localisation using iodine 125 Seeds “ ROLLIS ” to guide surgical removal of an impalpable posterior chest wall melanoma metastasis