The Clinical Significance of Scored CT Findings for Pre-operative Prediction of Lateral Cervical Lymph Node Metastasis in Thyroid Cancer / 대한내분비외과학회지
Korean Journal of Endocrine Surgery
; : 81-85, 2011.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-148873
Responsible library:
WPRO
ABSTRACT
PURPOSE:
Although ultrasound is routinely used for pre-operative evaluation of neck nodes in patients with papillary thyroid carcinoma, CT is also widely used. We designed a prediction score of lateral cervical lymph node metastasis (PSLCNM) for improving diagnostic ability of CT. The purpose of our study was to determine the clinical significance of the PSLCNM.METHODS:
A total of 124 patients with thyroid carcinoma who underwent surgery of lateral cervical lymph node dissection after pre-operative CT evaluation were enrolled in this study. We retrospectively evaluated the diagnostic ability between CT findings by one radiologist and PSLCNM for prediction of lateral lymph node metastasis.RESULTS:
In terms of predicting lateral cervical node metastasis, the positive predictive value of CT findings of indeterminate, suspicious, or metastatic nodes were 37.5% (21/56), 68.3% (28/41), 85.7% (18/21). Those of 1, 2, 3, 4 in sum of PSLCNM were 34% (16/47), 60% (30/50), 91% (10/11), 100% (10/10).CONCLUSION:
Prediction of lateral cervical node metastasis using PSLCNM showed a better result than conventional CT findings and could decrease unnecessary surgical procedures and postoperative complications in the surgery of thyroid cancer.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Thyroid Gland
/
Thyroid Neoplasms
/
Retrospective Studies
/
Ultrasonography
/
Lymph Node Excision
/
Lymph Nodes
/
Neck
/
Neoplasm Metastasis
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Endocrine Surgery
Year:
2011
Document type:
Article