Prognostic value of lymph node dissection in differentiated thyroid cancer

被引：0

作者：

Mouaden, A. ^{[1
]}

Guerrouj, H. ^{[1
]}

El Amrani, M. ^{[1
]}

Boumaaza, W. ^{[1
]}

Ghfir, I. ^{[1
]}

Ben Rais, N. ^{[1
]}

机构：

[1] Univ Mohammed 5, Hop Ibn Sina, Nucl Med Serv, Rabat, Morocco

来源：

MEDECINE NUCLEAIRE-IMAGERIE FONCTIONNELLE ET METABOLIQUE | 2011年 / 35卷 / 10期

关键词：

Thyroid cancer; Thyroidectomy; Lymph node dissection; Recurrence; SURGICAL-MANAGEMENT; PAPILLARY; CARCINOMA; METASTASIS; SURGERY;

D O I：

10.1016/j.mednuc.2011.06.006

中图分类号：

R36 [病理学];

学科分类号：

100104 ;

摘要：

Objective. Although the efficacy of total thyroidectomy as the first step in differentiated thyroid cancer (DTC) management is well proven, it is always a matter of controversy whether prophylactic lymph node dissection improves prognosis and survival in DTC patients without suspicion of lymph node metastases either clinically or radiologically. The aim of this work is to study relapse rates in patients according to the initial presentation and type of surgery performed, in order to analyze the prognostic impact of lymph node dissection. Patients and methods. One hundred and thirty patients with DTC were classified according to clinical presentation and type of surgery performed. They were monitored for six years to watch for recurrence. Results. In patients with no clinical evident lymph nodes, the relapse rate was lower among patients who underwent total thyroidectomy in one step with prophylactic lymph node dissection. Conclusion. Based on the results of other studies, and on our department experience of thyroid cancer management and monitoring, we strongly advocate careful and systematic exploration of the central lymph node compartments with exploration of the lateral side of the lesion if in doubt. (C) 2011 Elsevier Masson SAS. All rights reserved.

引用

页码：522 / 527

页数：6

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