Should we perform routine prophylactic central neck dissection in patients with thyroid papillary microcarcinoma?

Agcaoglu O., ŞENGÜN B., Ozoran E., Bilgic C., Karabay O., Taskin O. C., ...More

ANNALI ITALIANI DI CHIRURGIA, vol.89, no.6, pp.485-488, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 89 Issue: 6
  • Publication Date: 2018
  • Journal Name: ANNALI ITALIANI DI CHIRURGIA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.485-488
  • Keywords: Lymph node metastases, Neck dissection, Occult cancer, Papillary thyroid cancer, LYMPH-NODE METASTASIS, CLINICAL-SIGNIFICANCE, CENTRAL COMPARTMENT, CARCINOMA, CANCER, MANAGEMENT
  • Istanbul University Affiliated: Yes

Abstract

PURPOSE: Cervical lymph node (LN) metastases in papillary thyroid cancer (PTC) are common in tumors especially that are larger than 1cm. Ipsilateral central neck dissection (CND) is usually preferred even in the absence of a palpable LN. This study aims to clarify the incidence and predictive factors for occult ipsilateral central LN metastasis in these patients, and the management of patients without clinical evidence of metastasis.