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Revista Española de Medicina Nuclear e Imagen Molecular (English Edition)
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Inicio Revista Española de Medicina Nuclear e Imagen Molecular (English Edition) Update on radioguided surgery: From international consensus on sentinel node in ...
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Vol. 38. Issue 3.
Pages 173-182 (May - June 2019)
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Vol. 38. Issue 3.
Pages 173-182 (May - June 2019)
Special collaboration
Update on radioguided surgery: From international consensus on sentinel node in head and neck cancer to the advances on gynecological tumors and localization of non-palpable lesions
Actualización en cirugía radioguiada: del consenso internacional en ganglio centinela de cabeza y cuello a los avances en tumores ginecológicos y localización de lesiones no palpables
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S. Vidal-Sicarta,b, S. Fuertes Caberoc, M. Danús Lainezd, R. Valdés Olmose, P. Paredes Barrancoa, J.I. Rayo Madridf, M.E. Rioja Martíng, R. Díaz Expósitoh, E. Goñi Gironési,
Corresponding author
egonigirones@gmail.com

Corresponding author.
a Servei de Medicina Nuclear, Hospital Clínic, Barcelona, Spain
b Servei de Medicina Nuclear, IMI, Parc de Salut Mar, Barcelona, Spain
c Servicio de Medicina Nuclear e Imagen Molecular, Hospital Universitario Quirónsalud Madrid, Madrid, Spain
d Servicio de Medicina Nuclear, Hospital Universitari Sant Joan de Reus, Reus, Tarragona, Spain
e Interventional Molecular Imaging Laboratory and Nuclear Medicine Section, Department of Radiology, Leiden University Medical Center, Leiden, Netherlands
f Servicio de Medicina Nuclear, Complejo Hospitalario Universitario de Badajoz, Badajoz, Spain
g Servicio de Medicina Nuclear, Hospital Universitario Ramón y Cajal, Madrid, Spain
h Servicio de Medicina Nuclear, Hospital Clínico Universitario de Valencia, Valencia, Spain
i Servicio de Medicina Nuclear, Complejo Hospitalario de Navarra , Pamplona, Navarra, Spain
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Table 1. Results of the voting in Oviedo for some of the items which had achieved consensus in London.
Table 2. Different items achieving wide consensus in London.
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Abstract

The aim of this review is to provide an updated perspective on different fields of radioguided surgery. With reference to the sentinel lymph node biopsy in oral squamous cell carcinoma, we present the results of the interactive debate held at the recent Congress of our specialty about the more relevant aspects of the London Consensus. Drainage peculiarities and indications according to the current guidelines on gynecological tumors, endometrial and cervical cancer, are detailed and new scenarios for nuclear medicine physicians are presented; robotic surgery and hybrid tracers, for instance. Moreover, the notable growth in radioguided surgery indications for non-palpable lesions, widely used in mammary pathology, make it advisable to update two procedures which have shown satisfying results, such as the solitary pulmonary nodule and the osteoid osteoma.

Keywords:
Sentinel lymph node biopsy
Oral cavity squamous cell carcinoma
Gynecological cancers
Hybrid tracers
Robotic surgery
Radioguided surgery
Resumen

La presente revisión tiene como objetivo brindar una visión actualizada en diferentes campos de la cirugía radioguiada. En lo que se refiere a la biopsia del ganglio centinela en el carcinoma escamoso oral, se exponen los resultados del debate interactivo llevado a cabo en el reciente Congreso de nuestra especialidad sobre los aspectos más relevantes del Consenso de Londres. En los tumores ginecológicos, cáncer de endometrio y cérvix, se detallan las particularidades del drenaje, las indicaciones establecidas según las guías actuales y se presentan nuevos escenarios para el médico nuclear, como pueden ser la cirugía robótica y los trazadores híbridos. Por otra parte, la notable expansión de las indicaciones de la cirugía radioguiada de lesiones no palpables, ampliamente utilizada en patología mamaria, hace conveniente la puesta al día en dos procedimientos que han demostrado resultados satisfactorios, como son el nódulo pulmonar solitario y el osteoma osteoide.

Palabras clave:
Biopsia del ganglio centinela
Carcinoma escamoso de la cavidad oral
Cáncer ginecológico
Trazadores híbridos
Cirugía robótica
Cirugía radioguiada

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