Lymph node dissection in patients with differentiated thyroid carcinoma - who benefits?

1998 ◽  
Vol 383 (5) ◽  
pp. 355-358 ◽  
Author(s):  
B. Mann ◽  
H. J. Buhr
Keyword(s):  
Lymph Node ◽  
Thyroid Carcinoma ◽  
Lymph Node Dissection ◽  
Differentiated Thyroid Carcinoma ◽  
Node Dissection

Prophylactic lymph node dissection in clinically N0 differentiated thyroid carcinoma: example of personalized treatment

2020 ◽  
Vol 17 (4) ◽  
pp. 317-338
Author(s):  
Maria V Deligiorgi ◽  
Mihalis I Panayiotidis ◽  
Dimitrios T Trafalis
Keyword(s):  
Lymph Node ◽  
Thyroid Carcinoma ◽  
Lymph Node Dissection ◽  
Lymph Node Metastases ◽  
Differentiated Thyroid Carcinoma ◽  
Node Dissection ◽  
Main Culprit ◽  
Treatment Paradigm ◽  
Node Metastases ◽  
Prophylactic Lymph Node Dissection

Considering the ‘differentiated thyroid carcinoma (DTC) epidemic’, the indolent nature of DTC imposes a treatment paradigm shift toward elimination of recurrence. Lymph node metastases in cervical compartments, encountered in 20–90% of DTC, are the main culprit of recurrent disease, affecting 5–30% of patients. Personalized risk-stratified cervical prophylactic lymph node dissection (PLND) at initial thyroidectomy in DTC with no clinical, sonographic or intraoperative evidence of lymph node metastases (clinically N0) has been advocated, though not unanimously. The present review dissects the controversy over PLND. Weighing the benefit yielded from PLND up against the PLND-related morbidity is so far hampered by the inconsistent profit yielded by PLND and the challenging patient selection. Advances in tailoring PLND are anticipated to empower optimal patient care.

Prophylactic Lymph Node Dissection in Papillary Thyroid Carcinoma: Is There a Place for Lateral Neck Dissection?

2013 ◽  
Vol 37 (7) ◽  
pp. 1584-1591 ◽  
Author(s):  
Romain Ducoudray ◽  
Christophe Trésallet ◽  
Gaelle Godiris-Petit ◽  
Frédérique Tissier ◽  
Laurence Leenhardt ◽  
...  
Keyword(s):  
Lymph Node ◽  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Lymph Node Dissection ◽  
Lateral Neck ◽  
Papillary Thyroid ◽  
Node Dissection ◽  
Lateral Neck Dissection ◽  
Prophylactic Lymph Node Dissection
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