Controversies in neck dissection of papillary thyroid carcinoma
10.3760/cma.j.issn.1673-422X.2010.07.014
- VernacularTitle:甲状腺乳头状腺癌颈清扫的争议
- Author:
Hui HUANG
- Publication Type:Journal Article
- Keywords:
Thyroid neoplasms;
Carcinoma papillary;
Adenocarcinoma;
Neck dissection
- From:
Journal of International Oncology
2010;37(7):523-526
- CountryChina
- Language:Chinese
-
Abstract:
Parpillary adenocarcinoma is the most common type of thyroid cancer with high probability of cervicel lymph node metastasis. Prophylactic neck dissection is not necessary for patients with clinical negative neck. Modified radical neck dissection is the standard for therapeutic neck dissection. The range of dissection remains controversial. Level Ⅰ is not included routinely, level Ⅱ is recommended. Dissection of level Ⅴ may cause malfunction of the neck and shoulder, clinical negative level Ⅴ for low-risk group can be avoided with close follow-up. Rountine central lymph node dissection tends to reduce the local recurrence. Selective neck dissection for thyroid parpillary adenocarcinoma needs more investigations.
