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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.11
- 수록면
- 81 - 86 (6page)
- DOI
- 10.11106/ijt.2021.14.2.81
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초록· 키워드
오류제보하기
Regional neck metastases in well-differentiated thyroid carcinoma (WDTC) are relatively frequent. The prognosticeffects of lymph node (LN) metastases remain controversial. However, it is well known that lateral LN metastasisis related to the recurrence of the disease. In general, when lateral neck LN metastasis is confirmed in WDTCpatients, therapeutic lateral neck dissection is recommended. However, the optimal surgical extent of therapeuticlateral neck dissection in WDTC patients with clinical lateral LN metastasis is not clearly presented. Traditionalcomprehensive neck dissection including level II, III, IV and V even in patients with minimal lateral neck metastasesmay not be reasonable when considering both oncologic safety and functional aspects. There is controversywhether it is always necessary to perform level II and V LN dissection for all WDTC patients with clinical lateralLN metastasis. This is due to the fact that the likelihood of postoperative complications by the damage of thespinal accessory nerve increases with level II and level V dissection. Therefore, many studies have been reportedon the possibility of omitting levels II (especially IIb) and V during therapeutic comprehensive lateral neck dissection.
However, there have been no definite conclusions about it, and it is still debate. In this article, we reviewed tofind out optimal lateral neck dissection range for WDTC patients with clinical lateral neck metastasis.
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등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Mulla MG / 2012 / Lateral cervical lymph node metastases in papillary thyroid cancer: a systematic review of imaging-guided and prophylactic removal of the lateral compartment / Clin Endocrinol (Oxf) 77(1):126~131
Randolph GW / 2012 / The prognostic significance of nodal metastases from papillary thyroid carcinoma can be stratified based on the size and number of metastatic lymph nodes, as well as the presence of extranodal extension / Thyroid 22(11):1144~1152
Qubain SW / 2002 / Distribution of lymph node micrometastasis in pN0 welldifferentiated thyroid carcinoma / Surgery 131(3):249~256
Ito Y / 2009 / Prognosis of patients with papillary thyroid carcinoma having clinically apparent metastasis to the lateral compartment / Endocr J 56(6):759~766
Haugen BR / 2016 / 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer : the American Thyroid Association guidelines task force on thyroid nodules and differentiated thyroid cancer / Thyroid 26(1):1~133
Randolph GW / 2012 / The prognostic significance of nodal metastases from papillary thyroid carcinoma can be stratified based on the size and number of metastatic lymph nodes, as well as the presence of extranodal extension / Thyroid 22(11):1144~1152
Qubain SW / 2002 / Distribution of lymph node micrometastasis in pN0 welldifferentiated thyroid carcinoma / Surgery 131(3):249~256
Ito Y / 2009 / Prognosis of patients with papillary thyroid carcinoma having clinically apparent metastasis to the lateral compartment / Endocr J 56(6):759~766
Haugen BR / 2016 / 2015 American Thyroid Association management guidelines for adult patients with thyroid nodules and differentiated thyroid cancer : the American Thyroid Association guidelines task force on thyroid nodules and differentiated thyroid cancer / Thyroid 26(1):1~133
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