Successful localisation of recurrent thyroid cancer using preoperative patent blue dye injection

Successful localisation of recurrent thyroid cancer using preoperative patent blue dye injection

Purpose In the follow-up of patients with thyroid cancer, recurrences are often detected, posing challenges in locating and removing these lesions in a reoperative setting. This study aimed to assess the effectiveness of preoperative ultrasound (US)-guided injection of patent blue (PB) dye into the...

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Bibliographic Details
Published in:Journal of endocrinological investigation Vol. 47; no. 8; pp. 1941 - 1951
Main Authors: Evranos, B. O., Ince, N., Ataş, H., Polat, S. B., Ahsen, H., Imga, N. N., Dirikoc, A., Topaloglu, O., Tutuncu, T., Ersoy, R., Cakir, B.
Format: Journal Article
Language:English
Published: Cham Springer International Publishing 2024
Springer Nature B.V
Subjects:
Dyes
Endocrinology
Injection
Internal Medicine
Lesions
Medicine
Medicine & Public Health
Metabolic Diseases
Original
Original Article
Surgery
Thyroid cancer
Thyroid cancer recurrences
Localisation
Reoperative surgery
Blue dye
Patent blue
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Summary:Purpose In the follow-up of patients with thyroid cancer, recurrences are often detected, posing challenges in locating and removing these lesions in a reoperative setting. This study aimed to assess the effectiveness of preoperative ultrasound (US)-guided injection of patent blue (PB) dye into the recurrences to aid in their safe and efficient removal. Methods In this retrospective analysis, we reviewed the records of the patients in a tertiary care centre between February 2019 and March 2023 who underwent US-guided PB injection in the endocrinology outpatient clinic before reoperative neck surgery. The duration between the injection of PB and the initiation of surgery was recorded. The complications and effectiveness of the procedure were evaluated using ultrasonographic, laboratory, surgical, and pathologic records. Results We reached 23 consecutive patients with 28 lesions. The recurrences averaged 8.8 mm (4.1–15.6) in size and were successfully stained in all cases. The median time between the PB injection and the incision was 90 (35–210) min. There were no complications related to the dye injection. The blue recurrences were conveniently identified and removed in all cases. Conclusions A preoperative US-guided injection of PB is a safe, readily available and highly effective technique for localising recurrent tumours, even in small lesions within scarred reoperative neck surgeries.
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ISSN:1720-8386
0391-4097
1720-8386
DOI:10.1007/s40618-024-02301-w