CT-guided hookwire placement: A technical innovation for preoperative localization of nonpalpable cervical lymph nodes

Jenny K. Hoang, R. De Jesus, J. D. Eastwood, A. R. Gafton, D. L. Witsell

Research output: Contribution to journalArticle

Abstract

The aim is to describe the technique of preoperative CT-guided hookwire localization of small, but suspicious, cervical lymph nodes. We present 3 patients who underwent the procedure for nonpalpable cervical nodes detected on PET/CT prior to complete surgical resection of the nodes. The details of the radiological procedure, surgical outcomes, and pathologic results are described. The mean intervention time for preoperative hookwire localization was 9 minutes (range 7-14 minutes). There were no complications. All surgeons felt that the lengths of the surgical skin incision and operative times were reduced because of localization. The pathologic diagnoses were 2 benign nodes and 1 case of metastatic ovarian carcinoma. In conclusion, preoperative CT-guided hookwire localization is a useful technique for guiding surgical excision, especially when cervical nodes are small and deep in location.

Original languageEnglish (US)
Pages (from-to)E104-E106
JournalAmerican Journal of Neuroradiology
Volume33
Issue number7
DOIs
StatePublished - Aug 1 2012
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology

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