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

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Hoang, JK; De Jesus, R; Eastwood, JD; Gafton, AR; Witsell, DL

Published Date

  • August 2012

Published In

Volume / Issue

  • 33 / 7

Start / End Page

  • E104 - E106

PubMed ID

  • 21757524

Pubmed Central ID

  • PMC7965496

Electronic International Standard Serial Number (EISSN)

  • 1936-959X

Digital Object Identifier (DOI)

  • 10.3174/ajnr.A2538


  • eng

Conference Location

  • United States