Radioguided Surgery of Non-palpable Neck Lymph Node in Lymphoma Patients


Lymphomas have frequent relapses; early diagnosis is important to treat and improve outcomes. Clinical exam and imaging are useful but confirmation with biopsy is always required. Minimally exploratory surgery is a tool to take good samples with precision and safety. Evaluate the use of ROLL technique to track non-palpable lesions on the neck which were suspicious of recurrence in lymphoma patients. A retrospective review of the patients with high probability of lymphoma relapse who were biopsied using ROLL technique. Suspicious lesions on the neck where identified on the follow up of five lymphoma patients. Roll technique was used successfully to guide the biopsy. There were no complications. Relapse was confirmed in two patients; the other three was reactive follicular hyperplasia. Management was redirected on relapsing patients. ROLL technique proved to be a simple, safe and effective method to detect and biopsy non- palpable lesions on the neck of patients with suspicious relapsing lymphoma.

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Correspondence to Enrique Cadena-Piñeros.

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Informed consent was obtained from the patients for performance surgery.

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This article did not require any experiment involving any animal but was based on a retrospective clinical investigation just on human participants.

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Cadena-Piñeros, E., Parra-Charris, J.S. Radioguided Surgery of Non-palpable Neck Lymph Node in Lymphoma Patients. Indian J Otolaryngol Head Neck Surg 71, 430–434 (2019).

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  • Lymphoma
  • Minimally invasive surgical procedures
  • Single photon emission computed tomography computed tomography
  • Tissue adhesions