In:
Head & Neck, Wiley, Vol. 40, No. 2 ( 2018-02), p. 242-250
Abstract:
Neck dissection is considered the treatment of choice in patients with lateral neck metastases from well‐differentiated thyroid cancer. Methods A multicenter, retrospective review of patients who underwent therapeutic lateral neck dissection for well‐differentiated thyroid carcinoma was carried out. Results The study included a total of 405 lateral neck dissections performed in 352 patients; 197 women (56%) and 155 men (44%). When considering ipsilateral neck metastases, levels IIa, IIb, III, IV, Va, Vb, and V (not otherwise specified) were involved in 42%, 6%, 73%, 67%, 11%, 31%, and 35% of cases, respectively. Five‐year and 10‐year overall survival (OS) were 93% and 81%, respectively. Age 〉 55 years, pathologic T (pT)4 category, tumor diameter 〉 4 cm, aggressive variants of well‐differentiated thyroid carcinoma, endovascular invasion, and number of positive nodes 〉 5 turned out to be the most important prognostic factors. Conclusion Neck dissection is a valid treatment option in the presence of neck metastasis from well‐differentiated thyroid carcinoma. Levels IIa, III, IV, and Vb should always be removed.
Type of Medium:
Online Resource
ISSN:
1043-3074
,
1097-0347
Language:
English
Publisher:
Wiley
Publication Date:
2018
detail.hit.zdb_id:
2001440-5
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