scholarly journals Transection of Sternocleidomastoid for Selective Neck Dissection in Recurrent Papillary Thyroid Cancers

2017 ◽  
Vol 9 (1) ◽  
pp. 32-34
Author(s):  
Aromal Chekavar ◽  
Sapana Bothra ◽  
Mohammed Rashid ◽  
Ashok Kumar Vema
Keyword(s):  
Neck Dissection ◽  
Nodal Metastasis ◽  
Selective Neck Dissection ◽  
Papillary Thyroid ◽  
Reoperative Surgery ◽  
Thyroid Cancers ◽  
Posterior Triangle ◽  
Positron Emission ◽  
Vein Injury ◽  
Good Exposure

ABSTRACT The surgical treatment of papillary thyroid carcinoma is the most frequent procedure in endocrine oncologic practice for endocrine surgeons. With the advent of positron emission tomography scan, many of these patients who had previous surgery in the form of total thyroidectomy with neck dissection present with recurrent nodal metastasis which is the cause of thyroglobulin increase. Reoperative surgery is fraught with increased incidence of complications mainly the internal jugular vein injury and nerve injuries. In this scenario, good exposure helps in avoiding these injuries, and also helps the surgeon. We describe the exposure of the posterior triangle by the division of sternocleidomastoid superiorly off the mastoid tip and retracting the muscle downward and suturing it back at the end of the procedure. How to cite this article Mayilvaganan S, Bothra S, Rashid M, Chekavar A, Vema AK, Agarwal A. Transection of Sternocleidomastoid for Selective Neck Dissection in Recurrent Papillary Thyroid Cancers. World J Endoc Surg 2017;9(1):32-34.

Efficacy of selective neck dissection for nodal metastasis with involvement of nonlymphatic structures

Head & Neck ◽  
2010 ◽  
Vol 33 (8) ◽  
pp. 1099-1105 ◽  
Author(s):  
Muthuswamy Dhiwakar ◽  
K. Thomas Robbins ◽  
Krishna Rao ◽  
Francisco Vieira ◽  
James Malone
Keyword(s):  
Neck Dissection ◽  
Nodal Metastasis ◽  
Selective Neck Dissection

Selective neck dissection with preserving cervical plexus in papillary thyroid cancer

ASVIDE ◽  
2019 ◽  
Vol 6 ◽  
pp. 113-113
Author(s):  
Ning Qu ◽  
Ting-Ting Zhang ◽  
Shi-Shuai Wen ◽  
Jun Xiang ◽  
Rong-Liang Shi ◽  
...  
Keyword(s):  
Thyroid Cancer ◽  
Neck Dissection ◽  
Papillary Thyroid Cancer ◽  
Selective Neck Dissection ◽  
Papillary Thyroid ◽  
Cervical Plexus

Transoral robotic selective neck dissection for papillary thyroid carcinoma: Is it appropriate?

Head & Neck ◽  
2020 ◽  
Vol 42 (12) ◽  
pp. 3795-3796
Author(s):  
Ottavio Piccin ◽  
Pasquale D'Alessio ◽  
Ottavio Cavicchi
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Selective Neck Dissection ◽  
Papillary Thyroid

Selective neck dissection guided by a radioactive I125 seed for papillary thyroid carcinoma recurrence

2020 ◽  
Vol 98 (8) ◽  
pp. 478-481
Author(s):  
Alberto Vilar Tabanera ◽  
Odile Ajuria ◽  
María Eugenia Rioja ◽  
Jacobo Cabañas Montero
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Neck Dissection ◽  
Selective Neck Dissection ◽  
Papillary Thyroid

scholarly journals Pattern of regional metastasis in papillary thyroid cancer: our experience of 86 cases

2019 ◽  
Vol 7 (9) ◽  
pp. 3362
Author(s):  
Rajjyoti Das ◽  
Jagannath D. Sharma ◽  
Amal Ch Kataki ◽  
Chandi R. Kalita ◽  
Nizara Baishya
Keyword(s):  
Thyroid Cancer ◽  
Lymph Node ◽  
Lymph Node Metastasis ◽  
Lymph Nodes ◽  
Neck Dissection ◽  
Papillary Thyroid Cancer ◽  
Nodal Metastasis ◽  
Papillary Thyroid ◽  
Node Metastasis ◽  
Regional Metastasis

Background: Papillary thyroid cancer (PTC) have a high propensity for regional metastasis which ranges from 30- 80%. The objective of the study is to assess the pattern of lymph node metastasis and to plan the extent of neck dissection accordingly. Though central neck dissection (CND) is routinely done in PTC but the indication of extent of  neck dissection is still controversial.Methods: The medical records of   86 patients with PTC  who underwent total thyroidectomy (TT) and neck dissection at Dr. B. Borooah Cancer Institute(BBCI) from January 2010 to  December 2014 were retrospectively reviewed.Results: Out of 86 patients 22 were males and 64 were females. The median age of presentation was 40.0 years. 43 out of 86 patients (50%) had cervical lymph node metastasis. Ipsilateral nodal metastasis was found in 37 patients (43.0%) and contralateral metastasis was found in only 6 patients (7.0%).Tumors with size more than 3cm had ipsilateral nodal metastasis in 21(56.7%) patients which is statistically significant (p 0.03).A strong association was found between level VI and the ipsilateral group of lymph nodes involving level II,III,IV and V.Conclusions: Majority of patients present with multiple level nodal metastasis, with the central compartment commonly involved. In view of the high incidence of metastatic lymph nodes in levels II, III, IV and level VI ,our study  supports the recommendation  for posterolateral  and anterior  neck dissection in patients with clinically positive neck  nodes and tumor with aggressive criteria.

scholarly journals Long-Term Outcomes of Breast Cancer Patients Who Underwent Selective Neck Dissection for Metachronous Isolated Supraclavicular Nodal Metastasis

Cancers ◽  
2021 ◽  
Vol 14 (1) ◽  
pp. 164
Author(s):  
Shin-Cheh Chen ◽  
Shih-Che Shen ◽  
Chi-Chang Yu ◽  
Ting-Shuo Huang ◽  
Yung-Feng Lo ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Distant Metastasis ◽  
Primary Tumor ◽  
Medical Center ◽  
Significant Risk ◽  
Nodal Metastasis ◽  
Time Interval ◽  
Selective Neck Dissection ◽  
Tumor Surgery ◽  
Breast Cancer Patients

We retrospectively enrolled 139 patients who developed metachronous isolated supraclavicular lymph node metastasis (miSLNM) from 8129 consecutive patients who underwent primary surgery between 1990 and 2008 at a single medical center. The median age was 47 years. The median follow-up time from date of primary tumor surgery was 73.1 months, and the median time to the date of neck relapse was 43.9 months in this study. Sixty-one (43.9%) patients underwent selective neck dissection (SND). The 5-year distant metastasis-free survival (DMFS), post-recurrence survival, and overall survival (OS) rates in the SND group were 31.1%, 40.3%, and 68.9%, respectively, whereas those of the no-SND group were 9.7%, 32.9%, and 57.7%, respectively (p = 0.001). No SND and time interval from primary tumor surgery to neck relapse ≤24 months were the only significant risk factors in the multivariate analysis of DMFS (hazard ratio (HR), 1.77; 95% confidence interval (CI), 1.23–2.56; p = 0.002 and HR, 1.76, 95% CI, 1.23–2.52; p = 0.002, respectively) and OS (HR, 1.77; 95% CI, 1.22–2.55; p = 0.003 and HR, 3.54, 95% CI, 2.44–5.16; p < 0.0001, respectively). Multimodal therapy, including neck dissection, significantly improved the DMFS and OS of miSLNM. Survival improvement after miSLNM control by intensive surgical treatment suggests that miSLNM is not distant metastasis. 

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