Value of the Cervical Compartments in the Surgical Treatment of Papillary Thyroid Carcinoma

Goropoulos, Apostolos; Karamoshos, Konstantinos; Christodoulou, Anastasios; Ntitsias, Theodoros; Paulou, Konstantinos; Samaras, Asterios; Xirou, Persefoni; Efstratiou, Ioannis

doi:10.1007/s00268-005-1149-8

Cited by 31 publications

(43 citation statements)

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“…For those patients in whom nodal disease is evident clinically, on preoperative ultrasound, or at the time of surgery, surgical resection may reduce the risk of recurrence and possibly mortality (102,109,110). Functional compartmental en-bloc dissection is favored over selective dissection (berry picking) with limited data suggesting improved mortality (64,(111)(112)(113).…”

Section: What Is the Appropriate Operation For Differentiated Thyroidmentioning

confidence: 99%

Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Taskforce

Cooper

Doherty

Haugen

et al. 2006

Thyroid

1,915

938

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Section: What Is the Appropriate Operation For Differentiated Thyroidmentioning

confidence: 99%

Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Taskforce

Cooper

Doherty

Haugen

et al. 2006

Thyroid

1,915

938

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“…Goropoulos et al decided to extend the node dissection into the lateral neck compartments depending on the histological results of the central compartment. Without a preoperative diagnosis of central invasion, the decision is made on the basis of the results of the analysis of frozen sections from CND [27].…”

Section: Lateral Compartment Lnmmentioning

confidence: 99%

Lymph node management in clinically node-negative patients with papillary thyroid carcinoma

Vergez

Sarini

Percodani

et al. 2010

European Journal of Surgical Oncology (EJSO)

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Aims: Systematic lymph node dissection in patients with papillary thyroid carcinoma (PTC) remains controversial. The objective of this study was to study the pattern of lymph node spread in patients with PTC clinically node-negative and then to propose a lymph node management strategy. Methods:We retrospectively reviewed the records of patients who had undergone total thyroidectomy and a systematic central neck dissection (CND) and lateral neck dissection. Ninety patients with PTC without lymph nodes metastases (LNM) detected on preoperative palpation and ultrasonographic examination were included.Results: Forty-one patients (45.5%) had LNM. Twenty-eight patients (31%) had a central and a lateral involvement. Thirteen patients (14.5%) had only a central involvement. All the patients without LNM in the central compartment were also free in the lateral compartment. There was no correlation between LNM status and TNM staging.The largest LNM in the central compartment was smaller than or equal to 5 mm in 66% of the cases, and that could explain the lack of sensitivity of the preoperative ultrasonographic examination.Conclusion: CND could be considered at preoperative or intraoperative diagnosis of PTC whereas lateral neck dissection should be performed only in patients with preoperative suspected and/or intraoperatively proven LNM. Systematic CND allows an objective evaluation of lymph node status in this central cervical area where the LNM are particularly small and difficult to detect preoperatively.

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“…Initial therapy for thyroid cancer includes near-total or total thyroidectomy with or without prophylactic or therapeutic central compartment neck dissection to remove the primary tumor and involved cervical lymph nodes (5). Therapeutic lateral neck compartmental dissection is performed for patients with metastatic lateral cervical lymphadenopathy (6)(7)(8). Cervical nodal metastases are present in 20%-50% of patients at the time of diagnosis, even with small intrathyroidal tumors (microcarcinomas) (9)(10)(11)(12).…”

mentioning

confidence: 99%

Radioiodine Scintigraphy with SPECT/CT: An Important Diagnostic Tool for Thyroid Cancer Staging and Risk Stratification

Avram¹

2012

J Nucl Med

122

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CE credit: For CE credit, you can access the test for this article, as well as additional JNMT CE tests, online at https://www.snmmilearningcenter.org. Complete the test online no later than September 2015. Your online test will be scored immediately. You may make 3 attempts to pass the test and must answer 80% of the questions correctly to receive 1.0 CEH (Continuing Education Hour) credit. SNMMI members will have their CEH credit added to their VOICE transcript automatically; nonmembers will be able to print out a CE certificate upon successfully completing the test. The online test is free to SNMMI members; nonmembers must pay $15.00 by credit card when logging onto the website to take the test. Participants who have already taken the exam using JNM and passed cannot retake the exam.Staging and risk stratification predicate the postoperative management of thyroid cancer patients, determining not only the need for 131 I therapy or alternative options (conservative management without ablation, surgical reintervention, or externalbeam radiation therapy) but also the long-term follow-up strategy. This paper presents the progress made in the field of thyroid cancer imaging by application of SPECT/CT technology to radioiodine scintigraphy in both diagnostic and post-therapy settings and reviews the impact of fusion radioiodine imaging on staging, risk stratification, and clinical management of patients with thyroid cancer. In addition, this paper addresses the role of preablation radioiodine imaging and provides nuclear medicine physicians with the background knowledge required for integrating information from fusion imaging into the clinical and histopathologic risk stratification for developing an individualized treatment plan for patients with thyroid cancer.

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Value of the Cervical Compartments in the Surgical Treatment of Papillary Thyroid Carcinoma

Abstract: Fig. 1 was inadvertently and unintentionally referenced. This figure was modified from the manuscript entitled ''Mediastinal Metastasis of Differentiated

Cited by 31 publications

References 0 publications

Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Taskforce

Management Guidelines for Patients with Thyroid Nodules and Differentiated Thyroid Cancer: The American Thyroid Association Guidelines Taskforce

Lymph node management in clinically node-negative patients with papillary thyroid carcinoma

Radioiodine Scintigraphy with SPECT/CT: An Important Diagnostic Tool for Thyroid Cancer Staging and Risk Stratification

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