The localization of thyroid cancers on the thyroid gland is a new risk factor for metastases of perithyroidal, peritracheal and central lymph nodes

Ocak, Özlem Karaca; Ergenç, Hasan; ERGENÇ, Zeynep; Gökosmanoğlu, Feyzi

doi:10.1007/s00405-022-07361-3

Cited by 2 publications

(1 citation statement)

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“…Thyroid cancer is one of the most common malignant tumors of head and neck worldwide. Thyroid cancer has a significant impact on the physical and mental health of patients and its incidence is significantly higher in women than in men (1).. Papillary thyroid carcinoma (PTC) accounts for about 80-90%, and the main route of metastasis is lymphatic metastasis (2). According to thyroid cancer diagnosis and treatment guidelines, surgical treatment is very important for the initial treatment of PTC (3).…”

Section: Introductionmentioning

confidence: 99%

Optimal surgical population for cervical lymph node dissection in PTC

Wang,

Wu,

Yan

et al. 2024

Front. Oncol.

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ObjectiveThere is still controversy about whether cervical lymph node dissection should be performed in surgical treatment of PTC. Based on the data of thyroid cancer patients from Liaocheng People’s Hospital from 2015 to 2018, this study focused on appropriate indications for cervical lymph node dissection surgery.MethodsThe clinical and pathological data of patients with initial treatment of PTC in thyroid surgery department from 2015 to 2018 were collected. In all cases, 1001 patients underwent total thyroidectomy + central lymph node dissection, and 1107 patients underwent total thyroidectomy + central + cervical lymph node dissection.ResultsThe average metastasis rate of all cases was 57.23%, and even the metastasis rate of PTMC was as high as 48.97%. The total metastasis rate of central and lateral cervical lymph nodes was 74.44%, and the cervical lymph nodes were present in 49.32% of the metastatic cases. In 55.56% of the cases, the tumor diameter was more than 1 cm, and the metastasis rate of cervical lateral area was 56%. With the increase of tumor diameter, the cervical metastasis rate increased from 22.54% to 73.33%.ConclusionThe metastasis rate of PTC is more than 50%, and nearly half of them have cervical metastasis, especially in patients with high risk factors. We observed that PTC 1 cm or greater has significant rates of metastasis.

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Section: Introductionmentioning

confidence: 99%