A Surgeon's Guide to Imaging Surveillance for Well-Differentiated Thyroid Carcinoma and Implications for Revision Central Neck Dissection

2018 ◽  
Vol 5 (4) ◽  
Author(s):  
Catherine F. Sinclair
Keyword(s):  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Differentiated Thyroid Carcinoma ◽  
Central Neck Dissection ◽  
Central Neck ◽  
Imaging Surveillance ◽  
Well Differentiated

Routine central neck dissection in differentiated thyroid carcinoma: A systematic review and meta-analysis

2012 ◽  
Vol 122 (4) ◽  
pp. 797-804 ◽  
Author(s):  
Cheng-Xiang Shan ◽  
Wei Zhang ◽  
Dao-Zhen Jiang ◽  
Xiang-Min Zheng ◽  
Sheng Liu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Meta Analysis ◽  
Differentiated Thyroid Carcinoma ◽  
Central Neck Dissection ◽  
Central Neck

scholarly journals The Role of Prophylactic Central Neck Dissection in Differentiated Thyroid Carcinoma: Issues and Controversies

2011 ◽  
Vol 2011 ◽  
pp. 1-12 ◽  
Author(s):  
Kai-Pun Wong ◽  
Brian Hung-Hin Lang
Keyword(s):  
Thyroid Carcinoma ◽  
Total Thyroidectomy ◽  
Neck Dissection ◽  
Differentiated Thyroid Carcinoma ◽  
Central Neck Dissection ◽  
American Thyroid Association ◽  
Central Neck ◽  
Surgical Morbidity ◽  
Prophylactic Central Neck Dissection ◽  
Risk Patients

Prophylactic central neck dissection (pCND) in differentiated thyroid carcinoma (DTC) is one of the most controversial surgical subjects in recent times. To date, there is little evidence to support the practice of pCND in patients with DTC undergoing total thyroidectomy. Although the recently revised American Thyroid Association (ATA) guideline has clarified many inconsistencies regarding pCND and has recommended pCND in “high-risk” patients, many issues and controversies surrounding the subject of pCND in DTC remain. The recent literature has revealed an insignificant trend toward lower recurrence rate in patients with DTC who undergo total thyroidectomy and pCND than those who undergo total thyroidectomy alone. However, this was subjected to biases, and there are concerns whether pCND should be performed by all surgeons who manage DTC because of increased surgical morbodity. Performing a unilateral pCND may be better than a bilateral pCND given its lower surgical morbidity. Further studies in this controversial subject are much needed.

Cervical Neck Dissection Without Drains in Well-Differentiated Thyroid Carcinoma

2011 ◽  
Vol 77 (12) ◽  
pp. 1624-1628
Author(s):  
Bassam Abboud ◽  
Ghassan Sleilaty ◽  
Jenny Tannoury ◽  
Ronald Daher ◽  
Gerard Abadjian ◽  
...  
Keyword(s):  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Differentiated Thyroid Carcinoma ◽  
Central Neck Dissection ◽  
Minor Bleeding ◽  
Postoperative Hematoma ◽  
Group 3 ◽  
Group 2 ◽  
Well Differentiated ◽  
Group 1

This study aims to review the safety of thyroidectomy combined with cervical neck dissection without drainage in well-differentiated thyroid carcinoma (WDTC). The medical records of consecutive patients who underwent thyroidectomy without drainage for WDTC were retrospectively reviewed. Group 1 included 123 patients who underwent thyroidectomy with central neck dissection and Group 2 included 46 patients who underwent thyroidectomy with central and lateral neck dissection. One hundred twenty-seven patients underwent thyroidectomy without neck dissection and were included in Group 3. Overall, 16 patients (5%) developed postoperative hematoma and/or seroma, seven patients (6%) in the Group 1, three patients (7%) in the Group 2, and six patients (5%) in Group 3. All patients had minor bleeding or seroma not requiring surgical intervention. Overall, 68 patients (23%) had transient postoperative hypocalcaemia, and four patients(l%) had permanent hypoparathyroidism. Seventeen patients (6%) had transient postoperative hoarseness and three had permanent vocal cord paralysis (0.6%). The postoperative stay for all groups was 1 day in 91 per cent of the cases. Patients from Groups 1 and 2 had no increased perioperative local complications or length of stay as compared with Group 3. Cervical neck dissection and thyroidectomy without drains is safe and effective in the treatment of WDTC.

Effect of central compartment neck dissection on hypocalcaemia incidence after total thyroidectomy for carcinoma

2010 ◽  
Vol 125 (5) ◽  
pp. 497-501 ◽  
Author(s):  
I Mitra ◽  
J R Nichani ◽  
B Yap ◽  
J J Homer
Keyword(s):  
Thyroid Carcinoma ◽  
Total Thyroidectomy ◽  
Neck Dissection ◽  
Survival Benefit ◽  
Central Compartment ◽  
Differentiated Thyroid Carcinoma ◽  
Central Neck Dissection ◽  
Elective Neck Dissection ◽  
Central Neck ◽  
High Expectation

AbstractIntroduction:Central compartment neck dissection is increasingly performed as part of surgical management of differentiated thyroid carcinoma. However, elective central neck dissection remains controversial due to complications and lack of evidence of survival benefit.Objective:To investigate and compare rates of transient and permanent hypocalcaemia following total thyroidectomy alone, compared with total thyroidectomy with central neck dissection, for differentiated thyroid carcinoma.Methods:Retrospective study of 127 consecutive patients referred with differentiated thyroid carcinoma, 2004–2006; 78 patients had undergone total thyroidectomy (group one) and 49 total thyroidectomy with central compartment node dissection (group two). Surgery was performed in various hospitals by both otolaryngologists and endocrine surgeons.Results:In groups one and two, the incidence of transient hypocalcaemia was 18 per cent (14/78) and 51 per cent (25/49) (p < 0.001), and the incidence of permanent hypocalcaemia 1 per cent (one of 77) and 12 per cent (six of 49) (p < 0.01), respectively. Most patients undergoing central neck dissection had evidence of pathological level six lymphadenopathy (29/49).Conclusion:Total thyroidectomy combined with central neck dissection for the treatment of differentiated thyroid carcinoma is more likely to result in transient (51 per cent) and permanent (12 per cent) hypocalcaemia. Elective neck dissection should be performed selectively, with a high expectation of post-operative hypocalcaemia.

scholarly journals Risks and Benefits of Central Neck Dissection (CND) in Differentiated Thyroid Carcinoma (DTC)

2020 ◽  
Vol 46 (1) ◽  
pp. 72-85
Author(s):  
H.S. Wahyu Purnomo ◽  
Erwin D Yulian ◽  
Grace Wangge
Keyword(s):  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Locoregional Recurrence ◽  
English Language ◽  
Differentiated Thyroid Carcinoma ◽  
Central Neck Dissection ◽  
Central Neck ◽  
Surgical Morbidity ◽  
Increased Risk ◽  
Risk And Benefit

Introduction: The role of central neck dissection (CND) remains controversial in differentiated thyroid cancer (DTC). Risk and benefit of CND is necessary to be identified for judging whether CND will be performed or not. Methods: A literature search was performed in MEDLINE (pubmed) using main keywords such as differentiated thyroid carcinoma (DTC), central neck dissection (CND), total thyroidectomy. The literature had inclusion criteria english language literature with risk and benefit of CND. We used qualitative approach to summary descriptive papers result. Results: Sixteen trials were analyzed. There was no increased risk of recurrent laryngeal nerve (RLN) injury (temporary or permanent), permanent hypocalcemia, or locoregional recurrence when CND was performed in addition to TT. Postoperative temporary hypocalcemia was more common after TT with CND than after TT alone. Conclusion: TT alone results in less surgical morbidity in the immediate postoperative period and an identical locoregional recurrence rate compared with TT plus CND.

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