Risk Factors for Bilateral Lateral Lymph Node Metastasis in Unilateral Papillary Thyroid Cancer

被引：0

作者：

Moon, Jee Won ^{[1
]}

Cho, Yongmin ^{[1
]}

Oh, Kyoung Ho ^{[1
]}

Cho, Jae-Gu ^{[1
]}

Baek, Seung-Kuk ^{[1
]}

Kwon, Soon Young ^{[1
]}

Jung, Kwang-Yoon ^{[1
]}

Woo, Jeong-Soo ^{[1
]}

机构：

[1] Korea Univ, Coll Med, Dept Otorhinolaryngol Head & Neck Surg, Seoul, South Korea

来源：

B-ENT | 2023年 / 19卷 / 04期

关键词：

Lymph node dissection; metastasis; neck dissection; papillary thyroid cancer; thyroid; MAJOR MYOCUTANEOUS FLAP; VOCAL FOLD PARALYSIS; EUSTACHIAN-TUBE FUNCTION; MELKERSSON-ROSENTHAL SYNDROME; EVOKED MYOGENIC POTENTIALS; INVASIVE FUNGAL RHINOSINUSITIS; SUBCUTANEOUS BRONCHOGENIC CYST; LARYNGEAL NERVE REINNERVATION; TRITICUM-VULGARE EXTRACT; HYPERICUM-PERFORATUM L;

D O I：

10.5152/B-ENT.2023.23118

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objective: This study investigated the factors associated with bilateral lateral lymph node (LN) metastasis in patients with unilateral papillary thyroid cancer.Methods: The records of the patients who underwent total thyroidectomy with bilateral lateral neck dissection from 2009 to 2020 were investigated. Clinicopathologic characteristics of eligible patients were examined.Results: Of 11 eligible patients, 72.8% had the primary tumor larger than 2 cm (18.2% larger than 4 cm), and central compartment metastasis was present in all patients at the time of the surgery. On the other hand, aggressive subtype, extranodal extension, and lymphovascular and perineural invasion were not identified in most of the patients. Furthermore, preoperative sonography detected all possible contralateral LN metastasis, while computed tomography missed contralateral metastasis in 1 patient.Conclusion: A meticulous evaluation for contralateral LN metastasis using sonography is needed in unilateral papillary thyroid cancer patients with high risk factors.

引用

页码：211 / 215

页数：75

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