![](/images/graphics-bg.png)
Patterns of Cervical Lymph Node Metastases in Primary and Recurrent Papillary Thyroid Cancer
Joint Authors
Davidson, Bruce J.
Grewal, Ameet
Ahmadi, Neda
Source
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-11-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
The incidence of thyroid cancer is rising in the United States with papillary thyroid cancer (PTC) being the most common type.
We performed a retrospective study of 49 patients with PTC who underwent 57 lateral neck dissections (NDs).
The extent of NDs varied, but 29 of 57 (51%) consisted of levels II–V.
Twelve of 57 (21%) NDs consisted of levels I–V.
Twelve of 57 (21%) NDs consisted of levels II–IV.
One of 57 (1.8%) necks involved only levels I–IV.
One of 57(1.8%) necks involved only levels I–V.
One of 57(1.8%) necks involved only levels III–V.
Two (3.5%) double-level (III–IV) neck surgeries were also performed.
Metastatic PTC adenopathy was confirmed pathologically in 2%-level-I, 45%-level-II, 57%-level-III, 60%-level-IV, and 22%-level-V necks.
Level-V was positive in 21% of primary and 24% of recurrent groups (P=0.76).
Comparing primary and recurrent disease, there was no difference in nodal distribution or frequency for levels I, II, III, and V.
Level-IV was more common in the recurrent cases (P=0.05).
Based on the pathologic distribution of nodes, dissection should routinely include levels II–IV and extend to level-V in primary and recurrent cases.
Our data does not suggest routine dissection of level-I.
American Psychological Association (APA)
Ahmadi, Neda& Grewal, Ameet& Davidson, Bruce J.. 2011. Patterns of Cervical Lymph Node Metastases in Primary and Recurrent Papillary Thyroid Cancer. Journal of Oncology،Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-494517
Modern Language Association (MLA)
Ahmadi, Neda…[et al.]. Patterns of Cervical Lymph Node Metastases in Primary and Recurrent Papillary Thyroid Cancer. Journal of Oncology No. 2011 (2011), pp.1-5.
https://search.emarefa.net/detail/BIM-494517
American Medical Association (AMA)
Ahmadi, Neda& Grewal, Ameet& Davidson, Bruce J.. Patterns of Cervical Lymph Node Metastases in Primary and Recurrent Papillary Thyroid Cancer. Journal of Oncology. 2011. Vol. 2011, no. 2011, pp.1-5.
https://search.emarefa.net/detail/BIM-494517
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-494517