Differentiated Thyroid Cancer : Indications and Extent of Central Neck Dissection—Our Experience
Joint Authors
Calò, Pietro Giorgio
Boi, Francesco
Pisano, Giuseppe
Baghino, Germana
Nicolosi, Angelo
Medas, Fabio
Mariotti, Stefano
Source
International Journal of Surgical Oncology
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-09-26
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
The aim of this retrospective study was to determine the rate of metastases in the central neck compartment and examine the morbidity and rate of recurrence in patients with differentiated thyroid cancer treated with or without a central neck dissection.
Two hundred and fifteen patients undergoing total thyroidectomy with preoperative diagnosis of differentiated thyroid cancer, in the absence of suspicious nodes, were divided in two groups: those who underwent a thyroidectomy only (group A; n=169) and those who also received a central neck dissection (group B; n=46).
Five cases (2.32%) of nodal recurrence were observed: 3 in group A and 2 in group B.
Tumor histology was associated with a risk of recurrence: Hürthle cell-variant and tall cell-variant carcinomas were associated with a high risk of recurrence.
Multifocality and extrathyroidal invasion also presented a higher risk, while smaller tumors were at lower risk.
The results of this study suggest that prophylactic central neck dissection should be reserved for high-risk patients only.
A wider use of immunocytochemical and genetic markers to improve preoperative diagnosis and the development of methods for the intraoperative identification of metastatic lymph nodes will be useful in the future for the improved selection of patients for central neck dissections.
American Psychological Association (APA)
Calò, Pietro Giorgio& Medas, Fabio& Pisano, Giuseppe& Boi, Francesco& Baghino, Germana& Mariotti, Stefano…[et al.]. 2013. Differentiated Thyroid Cancer : Indications and Extent of Central Neck Dissection—Our Experience. International Journal of Surgical Oncology،Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-486112
Modern Language Association (MLA)
Calò, Pietro Giorgio…[et al.]. Differentiated Thyroid Cancer : Indications and Extent of Central Neck Dissection—Our Experience. International Journal of Surgical Oncology No. 2013 (2013), pp.1-7.
https://search.emarefa.net/detail/BIM-486112
American Medical Association (AMA)
Calò, Pietro Giorgio& Medas, Fabio& Pisano, Giuseppe& Boi, Francesco& Baghino, Germana& Mariotti, Stefano…[et al.]. Differentiated Thyroid Cancer : Indications and Extent of Central Neck Dissection—Our Experience. International Journal of Surgical Oncology. 2013. Vol. 2013, no. 2013, pp.1-7.
https://search.emarefa.net/detail/BIM-486112
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486112