• BMJ case reports · Mar 2014

    Case Reports

    Radioactive seed localisation to guide removal of impalpable lymph nodes (radioguided occult lesion localisation using iodine-125 seeds, "ROLLIS").

    • Lee Jackson, Anita Geraldine Bourke, Farah Abdul Aziz, and Donna Taylor.
    • Breast Clinic, Royal Perth Hospital, Perth, Western Australia, Australia.
    • BMJ Case Rep. 2014 Mar 22; 2014.

    AbstractTwo patients with cancer requiring removal of specific impalpable lymph nodes for full pathological analysis underwent ultrasound-guided lesion localisation and marking with a low-activity I-125 seed. A gamma probe was used in theatre to localise the signal from the seed and guide excision. Successful removal of the lesions was confirmed with the probe and by specimen radiography. Radioguided Occult Lesion Localisation using I-125 Seeds ("ROLLIS") provides a method of precisely marking impalpable lesions for surgical excision.

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