2019
DOI: 10.1007/s00268-019-05094-9
|View full text |Cite
|
Sign up to set email alerts
|

Recurrent Papillary Thyroid Carcinoma to the Cervical Lymph Nodes: Outcomes of Compartment‐Oriented Lymph Node Resection

Abstract: Introduction Recurrence of papillary thyroid carcinoma after initial treatment is challenging. Surgical reintervention is recommended, but cure after surgery in uncertain and surgical morbidity may be high. This study evaluates the effect of compartment‐oriented lymph node dissection (LND) on clinical and biochemical cure rate as well as the related complications. Patients and methods All patients who underwent LND for recurrent papillary thyroid carcinoma between 2000 and 2015 were included. Demography, the e… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
1

Citation Types

1
4
0
2

Year Published

2022
2022
2024
2024

Publication Types

Select...
6
1

Relationship

0
7

Authors

Journals

citations
Cited by 8 publications
(7 citation statements)
references
References 53 publications
1
4
0
2
Order By: Relevance
“…Major complications occurred in 9 (12.7%) of our patients. The complication rate in this study is considered acceptable in comparison with those in other published series 12,14,15,19,20) , which ranged from 1.4% to 17.1%. Hypoparathyroidism was the most common complication, followed by chyle leakage and cervical hematoma.…”
Section: Discussionsupporting
confidence: 56%
See 1 more Smart Citation
“…Major complications occurred in 9 (12.7%) of our patients. The complication rate in this study is considered acceptable in comparison with those in other published series 12,14,15,19,20) , which ranged from 1.4% to 17.1%. Hypoparathyroidism was the most common complication, followed by chyle leakage and cervical hematoma.…”
Section: Discussionsupporting
confidence: 56%
“…Other options are watchful waiting, external beam radiation, and local therapy such as ethanol or radiofrequency ablation 2,8,9) . The feasibility and efficacy of reoperations for locally recurrent RAI-R PTC were evaluated in several reports [10][11][12][13] ; however, reoperations carry a high risk of complications caused by scar tissue and distortions of anatomy that result from previous interventions, and the probability of tumor ablation is lower 14,15) . Surgical expertise, specifically in revision nodal surgery for thyroid cancer, is a discrete surgical skill set that can reduce surgical complications.…”
Section: Introductionmentioning
confidence: 99%
“…As reported, the most common sites of recurrence were the central and lateral compartments, ipsilateral to the largest thyroid tumor ( 16 ). LND-related complications were observed more frequently following reoperative LND (IJV injury, hematoma and lymphatic leakage) than following primary LND ( 17 ).…”
Section: Discussionmentioning
confidence: 72%
“…LND-related complications were observed more frequently following reoperative LND (IJV injury, hematoma and lymphatic leakage) than following primary LND ( 17 ). In imaging studies, ultrasound is the most commonly used method for documenting and localizing lymph node recurrence due to the lack of radiation and high sensitivity and specificity ( 16 ). Stang et al reported reoperations due to complications (hematoma) in patients who underwent transaxillary robotic thyroidectomy ( 18 ).…”
Section: Discussionmentioning
confidence: 99%
“…Traditionally, the primary approach to managing cervical disease in these patients has been surgical intervention, with some patients undergoing multiple procedures in pursuit of disease control or cure. Unfortunately, these objectives are not consistently met, and surgery carries the risk of potential complications such as hypoparathyroidism and voice disturbances and imposes significant emotional, time, and financial burdens ( 2 , 3 ). Nevertheless, the 2015 American Thyroid Association (ATA) Management Guidelines for Adult Patients with Thyroid Nodules and DTC strongly recommended therapeutic compartmental central or lateral neck dissection for patients with biopsy-proven persistent or recurrent disease in cervical lymph nodes based on specific size criteria.…”
mentioning
confidence: 99%