Investigation of selective neck dissection for differentiated thyroid cancer.
- Author:
Yue-Wu LIU
1
;
Xiao-Yi LI
;
Hong-Feng LIU
;
Wei-Sheng GAO
;
Yu-Pei ZHAO
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Female; Follow-Up Studies; Humans; Male; Middle Aged; Neck Dissection; methods; Prospective Studies; Thyroid Gland; pathology; surgery; Thyroid Neoplasms; pathology; surgery; Thyroidectomy; methods; Treatment Outcome
- From: Chinese Journal of Surgery 2007;45(13):868-870
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the indication, operative method and results of selective neck dissection (SND) for differentiated thyroid cancer.
METHODSAccording to the level system and the operative guideline of the American Head and Neck Society, 40 cases of thyroid cancer (phase I: 35 cases, phase II: 2 cases, phase III: 3 cases) were collected prospectively. Thyroidectomy plus SND was performed on all the cases. And the indication, operative methods and results were investigated.
RESULTSNine of the 40 cases received level VI dissection only. Twenty-four of the 40 cases received SND with levels 0.05). One parathyroid was found in 20% (8/40) of the specimen and 27% (11/40) of the patients had transient hypocalcemia, but no permanent hypocalcemia. Three (7.5%) of the patients had vocal cord paralysis for a short period of time and no permanent case was detected. Nineteen patients were followed up for more than 6 months after the operation and no enlarged neck lymph node was found by ultrasound at the 6th month postoperatively.
CONCLUSIONIt is reasonable to give SND to the early thyroid cancer patients.
