Regional Node Distribution in Papillary Thyroid Cancer with Microscopic Metastasis

Background. Optimal neck lymphadenectomy in patients with papillary thyroid cancer (PTC) and microscopic lymph node metastasis needs to be defined in order to aid surgeons in their decision about the best way to proceed in these cases. Methods. Patients who underwent total thyroidectomy and lymphade...

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Bibliographic Details
Published in:Journal of thyroid research 2018-01, Vol.2018 (2018), p.1-5
Main Authors: Basurto-Kuba, Erich, Zaldivar-Ramírez, Felipe-Rafael, Ordoñez-Rueda, Alejandro, Hurtado-López, Luis M.
Format: Article
Language:English
Subjects:
Age
Dissection
Hospitals
Lymphatic diseases
Lymphatic system
Metastasis
Mortality
Neck
Surgeons
Surgery
Surgical outcomes
Thyroid cancer
Tumors
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Summary:Background. Optimal neck lymphadenectomy in patients with papillary thyroid cancer (PTC) and microscopic lymph node metastasis needs to be defined in order to aid surgeons in their decision about the best way to proceed in these cases. Methods. Patients who underwent total thyroidectomy and lymphadenectomy at levels IIa to VI were divided into two groups: Group 1 (G1) with macroscopic metastasis detected before surgery and Group 2 (G2) with microscopic metastasis detected in sentinel node during surgery. Odds ratio (OR) was computed for age, sex, tumor size, multicentricity, capsular invasion, vascular/lymphatic permeation, and nodes with metastasis. Results. Primary tumor size was (G1 versus G2, respectively) 3.8 cm versus 1.98 cm (P
ISSN:2090-8067
2042-0072
2042-0072
DOI:10.1155/2018/1718284