Pattern and Treatment of Papillary Thyroid Carcinoma with Cervical Lymph Node Metastasis / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 1506-1511, 2005.
Artigo
em Coreano
| WPRIM
| ID: wpr-653892
ABSTRACT
BACKGROUND AND OBJECTIVES:
Cervical lymph node metastasis develops in approximately 30% to 80% of patients with papillary thyroid carcinoma. In papillary thyroid carcinoma, lymph node metastasis at presentation do not seem to adversely affect survival, but do increase the risk of loco-regional recurrence. The management of cervical metastasis in thyroid papillary carcinoma ranges from selective removal to a formal comprehensive neck dissection. In this study, we analyzed the pattern of cervical lymph node metastasis and the impact of prognostic variables in oder to plan how to manage the cervical lymph node metastasis in patients with papillary thyroid carcinoma. SUBJECTS ANDMETHOD:
The clinical records and pathological reports of 114 patients who underwent surgery for thyroid papillary carcinoma at the Department of Otolaryngology-Head and Neck Surgery, Hanyang university from 1996 to 2002 were analyzed retrospectively.RESULTS:
Cervical nodal metastasis was found in 57 (50.0%) patients. Occult metastasis was found in 26 (22.8%) patients. Cervical lymph node metastasis was most frequently noted in the level VI (38.6%). The size of primary tumor and extrathyroidal invasion were associated with cervical metastasis.CONCLUSION:
Based on our results, it might be suggested that elective central neck dissection is needed for patients with papillary thyroid carcinoma which is larger than 35mm or has extrathyriodal extension.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Esvaziamento Cervical
/
Recidiva
/
Glândula Tireoide
/
Neoplasias da Glândula Tireoide
/
Carcinoma Papilar
/
Estudos Retrospectivos
/
Linfonodos
/
Metástase Linfática
/
Pescoço
/
Metástase Neoplásica
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Otolaryngology - Head and Neck Surgery
Ano de publicação:
2005
Tipo de documento:
Artigo
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