lateral neck
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Biomedicines ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 179
Author(s):  
Young-Jae Ryu ◽  
Seong-Young Kwon ◽  
Soo-Young Lim ◽  
Yong-Min Na ◽  
Min-Ho Park

Skip lymph node (LN) metastases in papillary thyroid carcinoma (PTC) belong to N1b classification in the absence of central neck LN involvement. This study aimed to evaluate the predictive factors of skip metastases and their impact on recurrence in PTC patients with pN1b. A total of 334 PTC patients who underwent total thyroidectomy with LN dissection (central and lateral neck compartment) followed by radioactive iodine ablation were included. Patients with skip metastases tended to have a small primary tumor (≤1 cm) and single lateral neck level involvement. Tumor size ≤ 1 cm was an important predictive factor for skip metastases. Univariate analysis for recurrence showed that patients with a central LN ratio > 0.68, lateral LN ratio > 0.21, and stimulated thyroglobulin (Tg) levels > 7.3 ng/mL had shorter RFS (recurrence-free survival). The stimulated Tg level was associated with shorter RFS on multivariate analysis (>7.3 vs. ≤7.3 ng/mL; hazard ratio, 4.226; 95% confidence interval, 2.226−8.022; p < 0.001). Although patients with skip metastases tended to have a small primary tumor and lower burden of lateral neck LN involvement, there was no association between skip metastases and RFS in PTC with pN1b. Stimulated Tg level was a strong predictor of recurrence.


2022 ◽  
Vol 43 (1) ◽  
pp. 103237
Author(s):  
Gilad Feinmesser ◽  
Ana Eyal ◽  
Shai Shrot ◽  
Eugenia A. Belenky ◽  
Jobran Mansour ◽  
...  
Keyword(s):  

Author(s):  
Gilad Feinmesser ◽  
Anna Eyal ◽  
Shai Shrot ◽  
Eugenia A. Belenky ◽  
Jobran Mansour ◽  
...  
Keyword(s):  

2021 ◽  
Vol 12 ◽  
Author(s):  
Zeyu Zhang ◽  
Botao Sun ◽  
Hui Ouyang ◽  
Rong Cong ◽  
Fada Xia ◽  
...  

BackgroundEndoscopic thyroidectomy and robotic thyroidectomy are effective and safe surgical options for thyroid surgery, with excellent cosmetic outcomes. However, in regard to lateral neck dissection (LND), much effort is required to alleviate cervical disfigurement derived from a long incision. Technologic innovations have allowed for endoscopic LND, without the need for extended cervical incisions and providing access to remote sites, including axillary, chest–breast, face-lift, transoral, and hybrid approaches.MethodsA comprehensive review of published literature was performed using the search terms “lateral neck dissection”, “thyroid”, and “endoscopy OR endoscopic OR endoscope OR robotic” in PubMed.ResultsThis review provides an overview of the current knowledge regarding endoscopic LND, and it specifically addresses the following points: 1) the surgical procedure, 2) the indications and contraindications, 3) the complications and surgical outcomes, and 4) the technical advantages and limitations. Robotic LND, totally endoscopic LND, and endoscope-assisted LND are separately discussed.ConclusionsEndoscopic LND is a feasible and safe technique in terms of complete resection of the selected neck levels, complications, and cosmetic outcomes. However, it is recommended to strictly select criteria when expanding the population of eligible patients. A formal indication for endoscopic LND has not yet been established. Thus, a well-designed, multicenter study with a large cohort is necessary to confirm the feasibility, long-term outcomes, oncological safety, and influence of endoscopic LND on patient quality of life (QoL).


2021 ◽  
Vol 13 (1) ◽  
pp. 4-8
Author(s):  
Mohamad S Farahat ◽  
Mohamed K Kamel ◽  
Doaa A Saad ◽  
Hosam M Hamza

Author(s):  
El Bouhmadi Khadija ◽  
Oukessou Youssef ◽  
Rouadi Sami ◽  
Abada Redallah ◽  
Roubal Mohamed ◽  
...  

2021 ◽  
Vol 21 (11) ◽  
pp. 5408-5413
Author(s):  
XiaoYu Qian ◽  
Jian Tang ◽  
Yongquan Chu ◽  
Liang Chen ◽  
Ziqiang Chen ◽  
...  

This study aimed to investigate the applicability of carbon nanoparticle tracers in the lateral neck lymph nodes of CN1bx patients with papillary thyroid carcinoma surgery. 73 patients with papillary thyroid carcinoma at our hospital between January 2019 to December 2019 were suspected metastasis in the lateral neck lymph node before surgical treatment. During the operation, carbon nanoparticle tracers were used as black staining tracers for the lateral neck lymph nodes to detect metastasis in each Compartment of the neck. The lateral Compartment is defined as level ll-V The black-stained lymph nodes, dyed by Carbon nanoparticle tracers, and non-dyed lymph nodes were compared. Post-surgery paraffin pathology was adopted as the gold standard to calculate the predictive performance of the carbon nanoparticle tracers in detecting lymph node biopsy metastasis. 59 of the patients (80.8%) had lateral neck metastasis. The black-stained lymph nodes, dyed by Carbon nanoparticle tracers, in Compartment IV exhibited the highest proportions in the case number submitted for detection and in lymph nodes metastasis, followed by Compartment III. The metastasis rate of the dyed lymph nodes in areas III and IV was significantly higher than that of non-dyed lymph nodes (P < 0.05). The sensitivity and accuracy of the dyed lymph node biopsy in Compartments III—IV were 90% and 93.2%, respectively. This predictive performance was similar to that Compartments ll-V combined. In conclusion, when carbon nanoparticle tracers are used for lymph node biopsy, high sensitivity and accuracy are obtained in lateral neck compartments III—IV, making these compartments ideal for lymph node biopsy.


Author(s):  
Jennifer Siu ◽  
Rebecca Griffiths ◽  
Christopher W. Noel ◽  
Peter C. Austin ◽  
Jesse Pasternak ◽  
...  

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