Clinical research strategy for cN0 thyroid papillary carcinoma central lymph node dissection

To discuss the pattern of central lymph node metastasis of cN0 single thyroid papillary carcinoma and provide clinical evidence-supported proof for central lymph node dissection. The performed thyroidectomy and bilateral central lymph node dissection for 150 patients with cN0 single papillary thyroi...

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Published inChung-hua wai kʿo tsa chih Vol. 51; no. 12; p. 1081
Main Authors Gong, Yan-ping, Gong, Ri-xiang, Zhu, Jing-qiang, Huang, Qiu-shi, Chen, Rui, Li, Zhi-hui, Wei, Tao, Zou, Xiu-he, Zhu, Xin-xin
Format Journal Article
LanguageChinese
Published China 01.12.2013
Subjects
Adult
Carcinoma - surgery
Carcinoma, Papillary - surgery
Female
Humans
Lymph Node Excision - methods
Lymphatic Metastasis
Male
Middle Aged
Thyroid Cancer, Papillary
Thyroid Neoplasms - surgery
Thyroidectomy
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Summary:To discuss the pattern of central lymph node metastasis of cN0 single thyroid papillary carcinoma and provide clinical evidence-supported proof for central lymph node dissection. The performed thyroidectomy and bilateral central lymph node dissection for 150 patients with cN0 single papillary thyroid carcinoma. The bilateral central lymph nodes were divided into 4 parts: the cornu inferius cartilaginis thyroideae region of ipsilateral central area, the lower part of ipsilateral central area, the cornu inferius cartilaginis thyroideae region of contralateral central area, the lower part of contralateral central area on the baseline of 1 cm below the cornu inferius cartilaginis thyroideae. We analyzed the differences and influencing factors of lymph node metastasis in these 4 parts. The lymph node metastasis rate in lower part of ipsilateral central area was the highest (56.7%), followed by the lower part of contralateral central area (28.0%), the cornu inferius cartilaginis thyroideae region of ipsilateral cen
ISSN:0529-5815