title: 18F-fluorodeoxyglucose and 131I radioguided surgical management of thyroid cancer.
abstract: OBJECTIVE
  To describe a technique that assists in the surgical management of recurrent local regional well-differentiated thyroid cancer (WDTC).
  
  
  METHODS
  Case series with chart review.
  
  
  METHODS
  Two academic health centers from 2001 to 2009.
  
  
  METHODS
  Patients operated upon by the senior surgeon (BCS) for recurrent WDTC.
  
  
  RESULTS
  Thirteen patients with recurrent WDTC were operated upon with radioguided surgical (RGS) technique to indentify recurrence for excision. Eight patients had iodine avid disease and were candidates for RGS with (131)I. The remaining 5 patients had cancer with a proven loss of iodine avidity and were, therefore, operated upon with a fluorodeoxygluocose (FDG) RGS technique.
  
  
  CONCLUSIONS
  RGS is a feasible approach to identify recurrent disease in an operated field and ensure its successful excision. Although focal disease may be identified with this technique, this is not a tool for limited excisions ("berry picking").
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
authors.forename: Carrie L
authors.initials: CL
authors.lastname: Francis
authors.forename: Chuck
authors.initials: C
authors.lastname: Nalley
authors.forename: Chris
authors.initials: C
authors.lastname: Fan
authors.forename: Donald
authors.initials: D
authors.lastname: Bodenner
authors.forename: Brendan C
authors.initials: BC
authors.lastname: Stack
mesh_terms: D000328:Adult; D000368:Aged; D044963:Biopsy, Fine-Needle; D005240:Feasibility Studies; D005260:Female; D019788:Fluorodeoxyglucose F18; D005500:Follow-Up Studies; D006801:Humans; D007457:Iodine Radioisotopes; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000601:surgery; D049268:Positron-Emission Tomography / Q000379:methods*; D019275:Radiopharmaceuticals; D016634:Radiosurgery / Q000379:methods*; D012189:Retrospective Studies; D013964:Thyroid Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D007457:Iodine Radioisotopes; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18