Role of lymph node dissection in primary surgery for thyroid cancer. J Natl Compr Canc Netw 2007 Jul;5(6):623-30
Date
07/12/2007Pubmed ID
17623613DOI
10.6004/jnccn.2007.0053Scopus ID
2-s2.0-34447305744 (requires institutional sign-in at Scopus site) 25 CitationsAbstract
The preoperative evaluation of the clinically N0 neck and the operative management of cervical lymph nodes in patients with papillary and medullary thyroid cancer remains controversial. The appreciation that even patients with low-risk disease have a significant risk for recurrence has generated interest in a more comprehensive preoperative evaluation of the neck and has renewed debate on the extent of lymphadenectomy at the time of thyroidectomy. The authors recommend using preoperative ultrasound before thyroidectomy for all patients with thyroid cancer and before any subsequent surgeries for recurrent disease to identify the extent of lymph node metastases and thereby facilitate complete surgical removal of all gross disease in the neck. The optimal surgical procedure for removing cervical lymphadenopathy is compartment-oriented neck dissection based on the findings from preoperative ultrasound.
Author List
Grubbs EG, Evans DBAuthor
Douglas B. Evans MD Chair, Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
HumansLymph Node Excision
Surgery, Computer-Assisted
Thyroid Neoplasms
Thyroidectomy