Central Neck Dissection for Papillary Thyroid Carcinoma.
10.11106/cet.2014.7.2.140
- Author:
Kang Dae LEE
1
;
Hyoung Shin LEE
Author Information
1. Department of Otolaryngology Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea. kdlee59@gmail.com
- Publication Type:Review
- Keywords:
Thyroid cancer;
Papillary thyroid carcinoma;
Lymph node;
Central neck dissection
- MeSH:
Humans;
Lymph Nodes;
Neck Dissection*;
Neoplasm Metastasis;
Prognosis;
Thyroid Neoplasms*
- From:Journal of Korean Thyroid Association
2014;7(2):140-148
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Considering the relatively good prognosis of papillary thyroid carcinoma, surgical treatment should be conducted with an adequate method and extent of surgery with minimal complications. The optimal indications and extent of central neck dissection in papillary thyroid carcinoma has been introduced by variable guidelines. However, there have been controversies in several aspects regarding central neck dissection (i.e., prophylactic versus therapeutic, unilateral versus bilateral), which will remain until a large prospective study is completed. Successful management of cervical lymph node metastasis in papillary thyroid carcinoma requires thorough preoperative evaluation, knowledge on adequate indications and extent of surgery and considerations on surgical anatomy. In this article, we reviewed the rationales for optimal central neck dissection in papillary thyroid carcinoma based on recent studies and presented the surgical strategy and skills based on personal experience of a single surgeon.
