Clinical analysis of prophylactic central neck dissection for papillary thyroid carcinoma
Clin. transl. oncol. (Print)
; 16(1): 44-48, ene. 2014. tab
Artigo
em Inglês
| IBECS
| ID: ibc-127518
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
PURPOSE:
The need of prophylactic central neck dissection (PCND) in patients with papillary thyroid carcinoma (PTC) is still controversial. The major restriction of PCND is the potential complications. We undertook a retrospective study to discuss its necessity in PTC patients.METHODS:
A total of 188 patients with PTC who underwent total thyroidectomy and PCND were involved. In all of these, central lymph nodes were pathologic examined. Univariate and multivariate analyses were performed based on tumor location and size, etc.RESULTS:
Overall, node metastases were found in 44.1 % (83/188) of patients. Tumor size was the independent positive predictor for lymph node metastasis, while gender, age, tumor multifocality, tumor location, and capsular infiltration were not independent predictors of central lymph node metastases. Postoperative complications happened in 5.3 % (10/188) of patients, which 4.8 % (9/188) had temporary hypocalcemia and 0 % (0/188) had permanent hypocalcemia. Rates of temporary and permanent recurrent laryngeal nerve injury were 0.5 % (1/188) and 0 % (0/188), respectively.CONCLUSIONS:
PCND is recommended in all patients with PTC (AU)RESUMEN
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Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Esvaziamento Cervical
/
Neoplasias da Glândula Tireoide
/
Carcinoma
/
Metástase Linfática
Tipo de estudo:
Estudo de avaliação
/
Estudo observacional
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Estudo prognóstico
/
Fatores de risco
Limite:
Adulto
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Clin. transl. oncol. (Print)
Ano de publicação:
2014
Tipo de documento:
Artigo
Instituição/País de afiliação:
Shanghai Jiaotong University/China