Intraoperative ultrasonography is useful in surgical management of neck metastases in differentiated thyroid cancers

Differentiated thyroid carcinomas are the most common malignancies of endocrine organs. Metastases to cervical lymph nodes occur in 20–50 % of cases. Recurrence and survival rates are closely related to the type of surgery performed. High-resolution ultrasonography (USG) is a sensitive imaging metho...

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Bibliographic Details
Published in:Endocrine 2015-02, Vol.48 (1), p.248-253
Main Authors: Ertas, Burak, Kaya, Hakan, Kurtulmus, Neslihan, Yakupoglu, Abdullah, Giray, Serdar, Unal, Omer Faruk, Duren, Mete
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Child
Diabetes
Endocrinology
Female
Follow-Up Studies
Head and Neck Neoplasms - diagnostic imaging
Head and Neck Neoplasms - secondary
Head and Neck Neoplasms - surgery
Humanities and Social Sciences
Humans
Internal Medicine
Intraoperative Period
Lymph Nodes - diagnostic imaging
Lymphatic Metastasis - diagnostic imaging
Male
Medicine
Medicine & Public Health
Middle Aged
multidisciplinary
Neck Dissection - methods
Neoplasm Recurrence, Local - diagnostic imaging
Original Article
Retrospective Studies
Science
Thyroid Neoplasms - pathology
Thyroidectomy
Ultrasonography
Young Adult
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Summary:Differentiated thyroid carcinomas are the most common malignancies of endocrine organs. Metastases to cervical lymph nodes occur in 20–50 % of cases. Recurrence and survival rates are closely related to the type of surgery performed. High-resolution ultrasonography (USG) is a sensitive imaging method used to detect occult lymph node metastases in patients with thyroid cancer. We evaluated how intraoperative USG affected surgical success. This was a retrospective study comparing two groups of patients with thyroid carcinoma who underwent cervical lymph node dissection. A total of 101 patients (33 males and 68 females) were included. Group 1 included 53 patients who underwent surgery with intraoperative USG guidance. Group 2 included 48 patients who underwent surgery without the use of USG. All patients were followed up (mean 23 months; range 5–44 months) with thyroglobulin measurements and USG evaluations. Group 1 (intraoperative USG) had a residual/recurrent tumor rate of 1.9 % (1/53 patients). Group 2 had a residual/recurrent tumor rate of 12.5 % (6/48 patients). A statistically significant difference appeared between the residual/recurrent tumor rates in Groups 1 and 2 ( p  
ISSN:1355-008X
1559-0100
DOI:10.1007/s12020-014-0287-x