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

• Published in: Chung-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
• Language: Chinese
• 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
• ISSN: 0529-5815

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