Clinical prognosis of patients with CN0 papillary thyroid carcinoma without prophylactic neck dissection
- Author:
Cai-Ping HUANG
1
Author Information
1. Department of Head and Neck Surgery
- Publication Type:Journal Article
- Keywords:
Neck dissection;
Surgical procedures, operative;
Thyroid neoplasms
- From:
Tumor
2008;28(1):80-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To determine the incidence of lateral lymph node (LN) metastasis in patients with CN0 papillary thyroid carcinoma who did not undergo prophylactic neck dissection after initial surgery. Methods: Three hundred and eighty patients diagnosed as CN0 papillary thyroid carcinoma were admitted in our hospital from Nov. 1991 to Nov. 2001. They did not receive prophylactic ipsilateral neck dissection. Their clinical data were analyzed retrospectively. Results: LN metastasis in ipsilateral cervical area was present in 8 of 380 patients who were given second lateral elective neck dissection. Fifty six patients with lateral cervical lymphadenectasis diagnosed with preoperative CT scan had negative lateral cervical LN metastasis during follow-up period. The size of the lesions, the age of the patients, the status of central compartment LN metastasis were not risk factors for lateral cervical LN metastasis during follow-up period. Conclusion: Prophylactic neck dissection is not recommended for patients with CN0 papillary thyroid carcinoma close observation is necessary. Preoperative CT scan could decrease the LN metastasis rate in lateral cervical area postoperatively.
