Papillary thyroid carcinoma nodal surgery directed by a preoperative radiographic map utilizing CT scan and ultrasound in all primary and reoperative patients

Abstract

Combined preoperative US/CT provides reliable, objective, preoperative macroscopic nodal metastasis map to design rational nodal surgery in primary/revision PTC patients.

Nodal Metastases in Thyroid Cancer: Prognostic Implications and Management

“…Ultrasound assessment of central compartment neck LNs in level 6 and 7, is less sensitive due to the presence of air in the trachea and the bone of the sternum and clavicles [79]. Assessment of the central compartment for all patients is therefore supplemented with intraoperative palpation of the central compartment at the time of thyroidectomy.…”

Value of CT added to ultrasonography for the diagnosis of lymph node metastasis in patients with thyroid cancer

“…16,17 Moreover, the diagnostic performance of ultrasound in patients with thyroid cancer can be significantly influenced by the operator's experience and fundamentally limited by its failure to visualize some regions, such as the retropharyngeal and superior mediastinal areas. 19 Yet, until now, previous studies have reported inconsistent results with regard to the diagnostic accuracy of CT in the evaluation of lymph node metastasis and the benefit of CT remains unclear. 19 Yet, until now, previous studies have reported inconsistent results with regard to the diagnostic accuracy of CT in the evaluation of lymph node metastasis and the benefit of CT remains unclear.…”

“…3,18 To the contrary, although CT has only been recommended in cases of clinical suspicion for advanced thyroid cancers as an adjunct to ultrasound, 3,14 CT may be preferred by some surgeons as it can deliver detailed anatomic information regarding nodal location in relation to anatomic landmarks for surgery, in addition to the advantage of objectivity and unlimited coverage irrespective of location. [19][20][21][22][23] Therefore, the purpose of this study was to determine the diagnostic value of CT added to ultrasound for the diagnosis of lymph node metastasis in patients with thyroid cancer. [19][20][21][22][23] Therefore, the purpose of this study was to determine the diagnostic value of CT added to ultrasound for the diagnosis of lymph node metastasis in patients with thyroid cancer.…”

The Roles of Ultrasonography and Ultrasonography-guided Fine-needle Aspiration Cytology in the Planning of Management of Thyroid Cancers

“…It is also helpful for assessing the presence of neck lymphadenopathy (Fig. 3), especially when combining with computed tomography [8,9]. A plan of rational nodal surgery can then be designed.…”