Elective neck dissection in papillary carcinoma of the thyroid

Attic, J N; Khafif, Rene A.; Steckler, Robert M.

doi:10.1097/00006534-197306000-00027

Cited by 9 publications

(9 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 Despite the tumours in all 14 of our patients being less than 2.0 cm in diameter, seven patients (50.0%) presented with extrathyroidal extension, providing evidence for the local aggressiveness of SVPTC. However, the rate of lymph node metastasis in our patients was 35.7%, it was similar to that of patients with conventional PTC, [10][11][12] and none of our patients had distant metastases. In addition, 64.0% of our patients had TNM stage I or II tumours and 93.0% had MACIS scores of <6.…”

Section: Discussionsupporting

confidence: 81%

Clinicopathologic features of solid variant papillary thyroid cancer

Chang

Kim

Park

et al. 2013

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 81%

Clinicopathologic features of solid variant papillary thyroid cancer

Chang

Kim

Park

et al. 2013

ANZ Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Intraoperative sampling of nodes is potentially the most accurate way of assessing the extent of lymphatic tumor spread. When more extensive dissection is undertaken, more than 70% of patients are found to have nodal involvement [11][12][13]. Nevertheless, few studies take the level of nodal involvement according to TNM classification into consideration in evaluating the prognostic significance of the nodal status.…”

Section: Discussionmentioning

confidence: 99%

Do the level of nodal disease according to the TNM classification and the number of involved cervical nodes reflect prognosis in patients with differentiated carcinoma of the thyroid gland?

et al. 1998

View full text Add to dashboard Cite

Background and Objectives The importance of nodal involvement as a prognostic factor in differentiated carcinoma of the thyroid gland remains controversial. We therefore attempted to confirm the prognostic factors in differentiated thyroid carcinoma, with special reference to nodal status. Patients and Methods A total of 139 patients with differentiated thyroid cancer followed for 2–27 years, with a median follow‐up of 7 years were studied. All patients underwent surgical resection, either subtotal, total, or lobectomy, with modified radical neck dissection. Survival was calculated using the Kaplan–Meier method. Results Ten (7%) patients have died from thyroid cancer. Adverse prognostic factors included age >45 years (P = 0.0120), the presence of distant metastases (P = 0.0006), and TNM stage (P = 0.0002). The number of lymph nodes dissected ranged from 6 to 92, with an average of 26. Lymph node metastases were found in 102 (73%) patients. There was no difference in survival according to the level of nodal disease by the TNM classification. Furthermore, the number of cervical lymph nodes involved had no effect on the survival. Conclusion Our results suggest that the presence of histologically confirmed lymph node metastases is not an important prognostic factor in patients with differentiated thyroid carcinoma. J. Surg. Oncol. 1998;69:151–155. © 1998 Wiley‐Liss, Inc.

show abstract

“…For these reasons, other surgeons have advocated and performed elective neck dissection in patients with unilateral, invasive papillary cancers of 2 cm or greater [3].…”

Section: Discussionmentioning

confidence: 99%

Risk of bilateral cervical lymph node metastases in papillary thyroid cancer

Noguchi

Kinami

Kinoshita

et al. 1993

Journal of Surgical Oncology

View full text Add to dashboard Cite

We evaluated the risk of bilateral or contralateral cervical lymph node metastases in 135 patients with papillary thyroid cancer who underwent bilateral neck dissection. We confirmed that bilateral jugular lymph node metastases were frequent in patients with obvious carcinoma in both lobes of the gland, in those with cancers arising in the isthmus, in those with clinically detectable bilateral lymphadenopathy, and in those with recurrent thyroid cancer. However, only 24% of the patients who had cancer clinically confined to one lobe with no bilateral or contralateral lymphadenopathy had histologically detected bilateral or contralateral jugular lymph node metastases. But the occurrence of contralateral jugular lymph node metastases was significantly correlated with both clinical lymphadenopathy in the ipsilateral neck and contralateral paratracheal lymph node metastases. Bilateral lymph dissection might be beneficial for these patients.

show abstract

Elective neck dissection in papillary carcinoma of the thyroid

Cited by 9 publications

References 0 publications

Clinicopathologic features of solid variant papillary thyroid cancer

Clinicopathologic features of solid variant papillary thyroid cancer

Do the level of nodal disease according to the TNM classification and the number of involved cervical nodes reflect prognosis in patients with differentiated carcinoma of the thyroid gland?

Risk of bilateral cervical lymph node metastases in papillary thyroid cancer

Contact Info

Product

Resources

About