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Relevance of level IIb neck dissection in patients with papillary thyroid carcinoma.
Hosokawa, S; Takahashi, G; Okamura, J; Imai, A; Mochizuki, D; Ishikawa, R; Takizawa, Y; Misawa, K; Shinmura, K; Mineta, H.
Afiliación
  • Hosokawa S; Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan.
  • Takahashi G; Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan.
  • Okamura J; Yamahoshi ENT Clinic, Hamamatsu, Japan.
  • Imai A; Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan.
  • Mochizuki D; Department of Otorhinolaryngology, Seirei Hamamatsu General Hospital, Japan.
  • Ishikawa R; Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan.
  • Takizawa Y; Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan.
  • Misawa K; Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan.
  • Shinmura K; Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan.
  • Mineta H; Department of Otorhinolaryngology/Head and Neck Surgery, Hamamatsu University School of Medicine, Japan.
J Laryngol Otol ; 135(3): 269-272, 2021 Mar.
Article en En | MEDLINE | ID: mdl-33618782
BACKGROUND: Cervical nodal metastasis is a key prognostic factor in patients with papillary thyroid carcinoma. The role of lymph nodes in papillary thyroid carcinoma management and prognosis remains controversial. METHODS: Level IIb lymph nodes obtained from 44 patients with papillary thyroid carcinoma were histopathologically examined retrospectively. Specimens were classified as ipsilateral or contralateral. The number of dissected nodes and prevalence of level IIb metastasis were compared according to pre-operative clinical nodal stage. RESULTS: In the node-negative neck, the prevalence of contralateral and ipsilateral IIb nodes was 0 out of 20 and 0 out of 3, respectively. In the node-positive neck, the prevalence of contralateral and ipsilateral IIb nodes was 1 out of 13 (7.70 per cent) and 3 out of 41 (7.32 per cent), respectively. Clinically determined and pathologically confirmed level IIb node negativity were significantly associated. Thirty-four patients (77.3 per cent) developed accessory nerve complications from level IIb dissection. CONCLUSION: Level IIb neck dissection for papillary thyroid carcinoma may be required if pre-operative examination reveals multilevel, level IIa or suspicious level IIb metastasis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección del Cuello / Neoplasias de la Tiroides / Cáncer Papilar Tiroideo / Metástasis Linfática Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Laryngol Otol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disección del Cuello / Neoplasias de la Tiroides / Cáncer Papilar Tiroideo / Metástasis Linfática Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: J Laryngol Otol Asunto de la revista: OTORRINOLARINGOLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido